Job title: Medical Coding vacancies for BHMSBVSCBAMSBNYSBSMS BUMSBDS Dentist fresher
Company:
Job description: Medical Coding vacancies for BHMS,BVSC,BAMS,BNYS,BSMS, BUMS,BDS Dentist fresher
- 0 – 1 yrs
NA
Rs 3,25,000 to 4,00,000 p.a.
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- 70 Views
- Less than 5 Applicants
- 2022-08-19 2023-02-19
Job Description
Identify cases eligible for medical reviews and assign these to appropriate reviewers.
Reach out to the client for any problems identified in the cases for review.
Adhere to Utilization Review Accreditation Commission (URAC), jurisdictional, and/or established MediCall best practice UM time frames, as appropriate.
Adhere to federal, state, URAC, client, and established MediCall best practice WCUM time frames, as appropriate.
Develop a complete understanding of the Medical management Procedures.
Perform medical review assessment (MRA) on utilization of health services (eg healthcare plans, workers compensation products etc) in an accurate, efficient and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates.
Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment, casually related care, response or lack of response to treatment, etc.
Identify missing records and information that are necessary in the completion of the medical review assessment.
Adhere to Department of Labor, state and company timeframe requirements.
Coordinates physician reviewer referral as needed and follows up timely to obtain and deliver those results.
Track status of all utilization management reviews in progress and follow up on all pending cases.
Work closely with management team in the ongoing development and implementation of utilization management programs.
Respond to inbound telephone calls pertaining to medical reviews in a timely manner, following clientestablished protocols.
Process customer calls consistent with program specified strategies and customer satisfaction measurements to include but not limited to proper answering procedure, eg opening and closing remarks.
Learn new methods and services as the job requires.
Ct:
HR Sowmiya
Key Skills
- Operations Analyst
- Medical Coding
- Medical Coding Trainee
- Medical Coding Freshers
- Bds
- Bhms
- Bvsc
- B
Industry
Functional Area
Number of Vacancy
50
About Achievers Spot
Achievers Spot is a leader in providing Medical Coding training and placement services in Chennai. We are counted as building a platform where people can come and explore exciting and lucrative careers. We have team of dedicated Trainers and consultants with hands-on experience in healthcare field.
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Expected salary: Rs.325000 – 400000 per year
Location: Chittoor, Andhra Pradesh
Job date: Sat, 27 Aug 2022 04:19:06 GMT
Apply for the job now!