•     To assess organizational requirements based on input from business units and to recommend system enhancement, development or improvement in existing Health Information System, Oracle ERP – HRMS Payroll, HR Self Service Modules.
•     To develop and coordinate designing and development of systems as per internal departments/ business unit requirements.
•     To coordinate with difference company\'s department and business users to implement, enhancement, upgrades and/or newly designed system after proper testing.
•     To develop/modify reports on Oracle 10g and 11g report builder as per users’ requirements
•     To conduct a periodic review of systems and implemented processes for efficiency and effectiveness.

•     Testing and document the identified discrepancies and implement the proposed corrective measures after successful UAT by business units before GO-LIVE.
•     To ensure software quality throughout the entire process of development and implementation as per organizational standards and business unit requirements.
•     To impart training to the business unit users for efficient utilization of software/system functionality.
•     Coordinate with the Database Administrator, System Administrator and Risk Management Team for the deployment of reports / new projects/modifications on LIVE Server after assessment on Test server.
•     Perform on-site analysis, diagnosis, and resolution of complex desktop problems for end users, and recommend and implement corrective solutions, including off-site repair for remote users as needed.
•     Collaborate with Technology team members to ensure efficient operation of the organization\'s ERP system environment.
•     Installation and configure of software , Troubleshoot and resolve technical support issues of ERP System.
•     To develop effective Management Information Systems/Business intelligence for Senior Management to help better decision-making.
•     Using statistical tools to identify, analyze, and interpret patterns and trends in complex data sets could be helpful for the diagnosis and prediction.
•     Coordinate in development/amendment of Technical and User Manuals to ensure that updated manuals are available for reference.

To transfer/punch Medical Service Provider’s (MSP)* claims / billing data into Medical Software and Oracle Application Financials R12.
Ensure the accurate and timely submission of MSP’s claims
Implement company’s policy and procedure to enhance efficiency and accuracy.
Staying up-to-date with company’s regulations and compliance standards.
Collaborate with MSP and resolve their billing issues.
To work with personal information and maintain patient confidentiality.
To enter/maintain proper procedures name, diagnosis, treatment history of patient in system.
To monitor and resolve discrepancies in Billing.
To create both paper and electronic copies of documentation and also kept record of bills.
Process and scrutiny of Medical Reimbursement claims as per policy.

·         To process/scrutiny of IPD, OPD, Panel Specialist/Consultants and Laboratory claims of MSP’s as per company’s policy / approved rates and also deduct excess claim.

Follow up with the Medical Service provider’s(MSP) on incomplete documentation e.g. (wrong diagnosis, insufficient or unclear claims, missing require documents and timely submission of bills etc).
Communicate with physicians, paramedics and other clinical staff.

·         To prepared and kept management approvals record/agreements of hospitals, chemists, laboratories and consultants rates for Internal & External Audit.
·         Process enlistment & de-enlistment cases for company’s panel.
·         Prepare cases along with comparative statements of rate list with other same category, after negotiation with the MSP for the revision of rates case put up for management’s approval.
·         Prepare High Cost Patients MIS, Financial & Accounts Monthly / Yearly Highlights, Budget Analysis Reports of Medical Services Department.
·         Day to day liaison with internal/external department and medical service providers.
·         Ensure patient’s medical treatment approvals by ,Senior Management ,Chief Medical Officer / GM (Medical Services) to onward submission to concern Medical Service Providers(MSP).
*Medical Service Provider’s (MSP) means panel Hospitals, Laboratories, Chemists, Specialist Consultants etc.