Job For 15-24 Passout Nanotech,Operation Theater Tech,BVSC Grad

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 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.

Ct:

HR BHAVANI
  • Experience

    0 - 1 Years

  • No. of Openings

    50

  • Education

    BDS, BAMS, B.Pharma, B.Sc, B.E, BVSC, M.Pharma, M.Sc, M.Tech, MVSC

  • Role

    Nanotechnologist

  • Industry Type

    Hospitals / Medical / Healthcare Equipments

  • Gender

    [ Male / Female ]

  • Job Country

    India

  • Type of Job

    Full Time

  • Work Location Type

    Work from Office

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.
Read More...
Similar Jobs
Apply Now

Register to Get Relevant Jobs

Get Noticed By Top Recruiters

Become a Premium Job Seeker

  • Higher Boosting
  • Resume Highlighter
  • Verified Stamp
  • Resume Exposure

499/- for 3 months

Pay Now

Similar Jobs

Aircraft Maintenance Technician

DPSR Consultancy Solutions

  • Experience 0 - 6 yrs
  • Salary 8.5 Lac/Yr
Aircraft MechanicAircraft TechnicianAircraft HandlingAircraft MaintenanceAircraft ServicingAircraft EngineerAircraft SupervisorAircraft Maintenance TechnicianAircraft Maintenance EngineerAircraft Maintenance EngineeringMechanical TestingMe

Urgent Hiring For Housekeeping and Security Department in Airport

DPSR Consultancy Solutions

  • Experience 0 - 6 yrs
  • Salary 6.5 Lac/Yr
Office PeonHouse Keeping ExecutiveDeputy HousekeeperHousekeeping ManagerCorporate SecurityGround StaffAir TicketingService CrewCargo LoaderLoading SupervisorDriverAirport RampAirport OperationAirline Customer Service

Airport Guest Relationship Executive

DPSR Consultancy Solutions

  • Experience 0 - 6 yrs
  • Salary 8.5 Lac/Yr
Ground HandlingGround OperationGround ManagementGround ManagerGround HostessRpoundGround StaffAirport Ground StaffAirline Ground StaffGround Staff ExecutiveAirport Ground HandlingAir TicketingAir FreightAir CargoAir HostessAir Tick

Insurance Consultant

Bajaj Allianz Life Insurance Company

  • Experience 0 - 1 yrs
  • Salary 5.0 Lac/Yr
Positive AttitudeLife InsuranceTeam BuildingInsurance SalesTeam MotivationGood Communication

Urgent Hiring For HR Recruiter at Airport

Flysky Job Solutions

  • Experience 0 - 6 yrs
  • Salary 12.0 Lac/Yr
Human Resource ManagementAssistant Human ResourceHuman Resource ManagerHuman Resource InternshipHuman Resource InternAdministration ExecutiveAdmin Support ExecutiveAdministrative SupportVP Human ResourcesDirector Human ResourcesTraining Hea

Jobs For Aircraft Maintenance at Airlines

Flysky Job Solutions

  • Experience 0 - 6 yrs
  • Salary 12.0 Lac/Yr
Aircraft MaintenanceAircraft MechanicAircraft TechnicianAircraft HandlingAircraft ServicingAircraft EngineerAircraft SupervisorAircraft Maintenance TechnicianAircraft Maintenance EngineerAircraft Maintenance EngineeringElectrical Engineer

Urgent Hiring For Telecaller in RR Nagar

Private School And College Recruitment Center(MSSAS(R)

  • Location Rajarajeshwari Nagar Bangalore
  • Experience 1 - 2 yrs
  • Salary 2.0 Lac/Yr
BPO TelecallerDebt RecoveryBanking

Channel Sales Officer

Global Talent Pool

  • Location Bangalore
  • Experience 2 - 4 yrs
Sales SpecialistBrand Marketing

Looking For Sales Consultant

Job Jerky

  • Experience 0 - 1 yrs
  • Salary 6.0 Lac/Yr
Communication SkillsInterpersonal SkillsNegotiation

Vacancy For Aircraft Maintenance For Aviation Industry

DPSR Consultancy Solutions

  • Experience 0 - 6 yrs
  • Salary 12.0 Lac/Yr
Aircraft MaintenanceAircraft Maintenance EngineerAircraft MechanicAircraft TechnicianElectrical EngineerMechanical EngineerMaintenance Mechanical EngineerCivil EngineerProject EngineerAviation Engineer

Urgent Hiring For Air Ticketing Executive at Airport

DPSR Consultancy Solutions

  • Experience 0 - 6 yrs
  • Salary 8.5 Lac/Yr
Air TicketingAir Ticketing ExecutiveAir Ticketing StaffAirport ExecutiveAirport ManagerGround StaffCustomer SupportCustomer Support ExecutiveCustomer Service ExecutiveCabin CrewAir HostessFlight AttendantFront Office Executive

Apply Job For Cabin Crew at Aviation Industry

Flysky Job Solutions

  • Experience 0 - 6 yrs
  • Salary 9.0 Lac/Yr
Cabin CrewGround StaffAirport Ground StaffSenior Cabin CrewAirlines Cabin CrewCrew MemberCrew ManagerGround Staff ExecutiveGround Handling StaffCustomer Service ExecutiveCustomer Care CoordinatorAirport StaffAirport Manager

Hiring For Ground Staff

DPSR Consultancy Solutions

  • Experience 5 - 11 yrs
  • Salary 12.0 Lac/Yr
Ground HandlingGround OperationGround StaffGround ManagementAir Traffic ControlAir Ticketing AgentAir CargoAir FreightAir HostessAirport ManagerAirport RampAviation SecurityAirline Customer ServiceAirlines Cabin Crew

We use cookies to improve your experience. By continuing to browse the site, you agree to our Privacy Policy Terms & Conditions [Seeker]

Got it