you have At Least a Diploma/degree in Any Field.
this Role is Open to Fresh Graduates with Excellent English Communication Skills.
you are Goal-oriented and Thrive in Fast-paced Environments
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.
Benefits
Placement Locations:Chennai, Trichy, Coimbatore, Vellore, Salem, Bangalore, Hyderabad, Nagercoil, Madurai, Tirunelveli, Tiruppur, Kancheepuram, Erode,Thiruvannamalai, Pudukkottai, Villupuram, Dindigul, Thanjavur, Dharmapuri, Sivakasi, Tiruchengode, Mayiladuthurai, Thoothukudi, Ramanathapuram, Pudhukottai, Mumbai, Pune, Noida
Contact Details
Achievers Spot
13, Ramanathan Street,2nd Floor, T.Nagar, Chennai 600017
Landmark: Adjacent to Ranganathan Street
Ph: 9566157632/9566284629/9566157627/9840708203,044-42126317/42057586/45001158
Email: aishwarya@achieversspot.com
Website: www.achieversspot.com
Lavanya
HR Executive,
Achievers Spot
Ct: 9566157632
This job is provided by Shine.com
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