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Achievers Spot in Chennai, Tamil Nadu, invites fresh graduates to join our health care support team. The role emphasizes excellent English communication and adherence to URAC standards and MediCall best-practice timeframes for medical review processes.
You will handle utilization management tasks, identify missing medical records, and coordinate with management to implement program improvements. A diploma/degree in any field is acceptable, with opportunities for training and growth.
Life Sciences, Paramedical Technician, Life Science, Paramedical, Pharmacy, Physiotherapist, Nurse, Staff Nurse, Biotechnology, Biomedical Engineer, Bioinformatics, Biochemistry, Microbiology, Biology, Zoology Botany, Anesthesiology, BDS, Bhms, Bams, Bsms, Pharmacist.,
Hospitals / Medical / Healthcare Equipments
Health Care / Pharmaceuticals / Medical
50
0 - 1 Yrs.
INR 325000 - 400000
Chennai
Graduate (BDS, B.Pharma, B.Sc, B.Tech/B.E, BVSC)
All
Own Company
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.
you have At Least a Diploma/degree in Any Field.
Such as Biotechnology, Biomedical Engineer, Biochemistry, Microbiologist, Biotechnologist, Biology,
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.
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.