CONTACT H RLavanya: (phone hidden) Description Of Job This Role is Open to Fresh Graduates with Excellent English Communication Skills.

Adhere to Utilization Review Accreditation Commission (URAC), jurisdictional, and/or established MediCall best practice UM time frames, as appropriate.

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.

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 client a established 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.

Skills Required you have At Least a Diploma/degree in Any Field.

Such as Biotechnology,



Biomedical Engineer, Biochemistry, Microbiologist, Biotechnologist, Biology,

Key Responsibilities Identify missing records and information that are necessary in the completion ofthe medical review assessment.

Adhere to Department of Labor, state and company timeframe requirements.

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.

you have At Least a Diploma/degree in Any Field.

Ct US H RLavanya: (phone hidden) We are looking for a DGNM Staff nurse **Should have good knowledge in Medical coding

Should be Certified Medical Coder

Should have valuable communication skills

Immediate joiners are needed

Job Type: Full-time** Assign diagnosis and procedure codes for the patient charts

Ensure 95% quality on production

Adherence to the company's Coding Compliance policy/plan internal and External (clients)

To improve the performance based on the feedback provided by the reporting manager

Ct HR Lavanya (phone hidden) This job is provided by Shine.com

📌 Bsc/msc Nursing/gnm/staff nurse openings for Medical Coding Process (Ramanathapuram)
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