What major medical knowledge do you need to prepare for the interview of medical audit post in social security business department (my medical major is really not very good)

Students, first of all, you need to know what this position is for, and then you know what questions people in this position will ask.

In a word, it is to help the parties sort out claims with the insurance company on the basis of facts.

Generally speaking, taking medical audit as an example, the job responsibilities and requirements of unit recruiters are as follows (not completely included, but most requirements are these):

1. Those who have been engaged in medical-related work for more than one year or have judicial expertise experience are preferred;

2. Engaged in clinical surgery or personal injury investigation for more than one year;

3. Have knowledge of insurance claims and insurance assessment;

4. Have good communication skills, coordination skills and teamwork spirit;

5. Medical review and follow-up treatment of daily claims;

6. Formulate internal claims review rules according to customer needs;

7. Review all kinds of system problems and process problems found in daily operation, and provide suggestions for system optimization;

8. Respond in writing to the claim inquiry that the customer service cannot solve;

9. Daily communication with insurance companies.

I haven't finished listing here. Each enterprise/hospital/institution requires different job responsibilities. You'd better find out what the requirements of the company you want to interview are.

In addition, to do a good job in this position, we must be familiar with relevant national laws and regulations, familiar with hospital business and management processes, and familiar with medical insurance review and reimbursement processes and policies. This can be accumulated slowly in your practice, and it is of course unrealistic for you to recite the regulations.

Generally speaking, this is a post dealing with people and laws and regulations, which requires a clear mind and keen thinking. In fact, I think the professional foundation may not reach the practical ability. You should be familiar with laws and regulations and be able to solve crimes quickly and accurately. You can learn by doing.

Doing any work requires the accumulation of practice. If you just want to muddle through the interview, it's too late to prepare temporarily. You can show your extroversion and good communication during the interview. I think this is what the interviewer wants to see.

The above is a superficial view, you can refer to it.

Good luck in your interview.