Team Leader - Operations (Claims) MDI NetworX

1.0 - 5.0 years

0 Lacs

pune, maharashtra

On-site

Role Overview: You have to lead a team and ensure smooth operations in the healthcare sector. Your primary responsibilities will include assisting team members, managing a team, and ensuring adherence to norms. Key Responsibilities: - Assist team members with queries and take ownership of their targets & goals - Manage a team of 10-15 associates - Ensure adherence to attendance, punctuality, reporting, and completion of work Qualification Required: - Minimum 1 year of experience as a Team Leader / Designated Team Leader - At least 5+ years of experience in Adjudication / Adjustments / Provider Maintenance - Strong knowledge of US Healthcare - Sound knowledge of CPT Codes/Diagnosis Codes - Fa...

Posted 1 month ago

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Authorization Specialist Cliniqon

2.0 - 6.0 years

0 Lacs

kochi, kerala

On-site

The Authorization Specialist plays a crucial role in ensuring timely and accurate authorizations for home health and hospice care services. You will be responsible for coordinating patient eligibility verification, managing authorizations, and maintaining comprehensive communication with clinicians, intake coordinators, and insurance providers. In the Authorization Process, your key responsibilities will include reviewing referrals to check for home health and hospice referrals with scheduled Start of Care (SOC) dates in the Excel file. You will access and pull the patient's chart in MatrixCare for further verification. Confirming patient eligibility for home health or hospice services by ve...

Posted 3 months ago

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Team Leader - Operations (Claims) MDI NetworX

1.0 - 5.0 years

0 Lacs

pune, maharashtra

On-site

The ideal candidate for this position should have experience working as a Team Leader or Designated Team Leader for at least a year. Additionally, they should possess a minimum of 5+ years of experience in Adjudication, Adjustments, or Provider Maintenance within the US Healthcare industry. The candidate must be open to working in any shift provided and should have a strong understanding of US Healthcare practices. It is essential for the candidate to have a comprehensive knowledge of CPT Codes, Diagnosis Codes, and the Authorization Process. They should also be familiar with the pre-adjudication and post-adjudication processes of the Claim Life Cycle. Proficiency in English comprehension is...

Posted 3 months ago

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