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
JOB DESCRIPTION: Software Support Engineer – IAP WHO WE ARE: Esko is a part of Veralto’s Product Quality & Innovation...
Apply For This JobJoin Godrej and Boyce Manufacturing Company Limited and take your sales career to the next level! 🚀 We’re Hiring: Sales...
Apply For This JobAbout Aristo Industries Aristo Industries is a growing manufacturer in the specialty chemicals sector, focused on developing and producing high-quality...
Apply For This JobResponsibilities As a Sales Specialist at Ambria, you will have the opportunity to showcase your expertise in MS-Office, English Proficiency,...
Apply For This JobSGS is the world’s leading Testing, Inspection and Certification company. We operate a network of over 2,500 laboratories and business...
Apply For This JobJoin New Era Technology, where People First is at the heart of everything we do. With a global team of...
Apply For This Job“`
Search qualified candidates by skills, location, experience, education, and more.
“`
We use cookies to improve your experience on our site. By using our site, you consent to cookies.
Manage your cookie preferences below:
Essential cookies enable basic functions and are necessary for the proper function of the website.
These cookies are needed for adding comments on this website.
Google reCAPTCHA helps protect websites from spam and abuse by verifying user interactions through challenges.
These cookies are used for managing login functionality on this website.
Statistics cookies collect information anonymously. This information helps us understand how visitors use our website.
Google Analytics is a powerful tool that tracks and analyzes website traffic for informed marketing decisions.
Service URL: policies.google.com (opens in a new window)
You can find more information in our Cookie Policy and Privacy Policy.
