Job Recruitment Website - Social security inquiry - Going to interview for a medical audit position in the social security operations department What major medical knowledge should I prepare for (I am genuinely not very good in my medical program)
Going to interview for a medical audit position in the social security operations department What major medical knowledge should I prepare for (I am genuinely not very good in my medical program)
In a word, it is: based on the facts, to assist the parties with the insurance company to sort out the case of the claims work.
Generally speaking, the medical audit, job responsibilities and unit recruiting requirements are the following (not all include but most of the requirements are these):
1. engaged in medical related work more than a year or judicial appraisal experience is preferred;
2. engaged in surgical clinic or personal injury investigation work more than a year;
3. have insurance claims, insurance appraisal knowledge. Claims, insurance appraisal related knowledge;
4. Good communication skills, coordination skills and teamwork spirit;
5. Daily claims medical audit and follow-up processing;
6. Develop internal claims audit rules according to customer needs;
7. Audit of various system issues and process issues found in daily operations and provide System optimization recommendations;
8. Written responses to claims inquiries that cannot be resolved by customer service;
9. Daily communication with insurance company operations.
Here I did not finish listing, each enterprise/hospital/organization requires different job duties, it is best that you can go to check the enterprise you want to interview the requirements of the people how.
In addition, to do a good job of this position, we must be familiar with the relevant national laws and regulations, familiar with the hospital business and management processes, familiar with the health insurance audit and reimbursement processes and policies. This can be accumulated slowly in your practice, you have to memorize the regulations at once certainly not realistic.
Overall, this is a post with people dealing with the regulations, requires a clear mind, sharp thinking, in fact, I think the professional foundation may not be able to offset the ability to practice, you have to familiarize yourself with the regulations, can quickly and correctly solve the case is the focus of the problem, you can do it while you are learning.
Doing any job requires the accumulation of practice, if you just want to mix the past interview, temporary preparation is too late, you can show in the interview when you are extroverted, good communication side, I think this is the interviewer wants to see.
The above is a little rough view, you can refer to it.
I wish you all the best for the interview.
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