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Achievers Spot is hiring fresh graduates with strong English communication for roles in utilization management and medical review. The position involves handling medical records, following URAC and regulatory timeframes, and supporting management in program development.
Candidates with diplomas or degrees in Life Sciences, Biotechnology, Biochemistry, Microbiology, or related fields are encouraged to apply. Location: Chennai; contact Lavanya for details.
Key Skills : 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.
Industry : Hospitals / Medical / Healthcare Equipments
Function : Health Care / Pharmaceuticals / Medical
Positions : 50
Experience : 0 - 1 Yrs.
Salary : INR 325000 - 400000
Location(s) of Job : Chennai
Qualification : Graduate (BDS, B.Pharma, B.Sc, B.Tech/B.E, BVSC)
Gender Preference : All
Hiring For : Own Company
Mailing Email ID - meena@achieversspot.com
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,
Lavanya 9566157632