CONTACT HRLavanya hidden mobile 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 effective 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 HRLavanya hidden mobile We are looking for a DGNM Staff nurse Should have good knowledge in Medical coding Should be Certified Medical Coder Should have good communication skills Immediate joiners are needed Job Type Fulltime Assign diagnosis and procedure codes for the patient charts Ensure 95 quality on production Adherence to the companys Coding Compliance policy plan internal and External clients To improve the performance based on the feedback provided by the reporting manager Ct HRLavanya hidden mobile

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