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3.0 - 5.0 years
0 Lacs
chennai, tamil nadu, india
Remote
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...
Posted 4 days ago
3.0 - 7.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Quality Analyst, your role involves supporting quality auditing, analysis, reporting, and developing plans to achieve positive outcomes. You will work on risk identification, diagnosing issues, identifying process improvement solutions, and implementing improvement methods. Continuous engagement and collaboration with the Operations and Training Team is essential for success. Key Responsibilities: - Ensure that project-related quality processes are followed by denials analyst and that client-specific and internal metrics are achieved - Prepare detailed reports on audit findings and understand quality requirements from both process and target perspectives, delivering reports in a timely ...
Posted 1 month ago
1.0 - 8.0 years
0 Lacs
maharashtra
On-site
If you want to do more with your healthcare career and deepen your knowledge of healthcare revenue cycle management, you have to look at your healthcare business processes from the customer's lens. Get smarter about the business of healthcare, join a company that values your work and enables you to become a true partner to your clients by investing in your growth besides empowering you to work directly on KPIs that matter to your clients. Start your career as a Client Partner for medical coding - Denial services with Access Healthcare. We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture. **Key Responsib...
Posted 1 month ago
3.0 - 5.0 years
0 Lacs
chennai, tamil nadu, india
Remote
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...
Posted 2 months ago
3.0 - 5.0 years
0 Lacs
chennai, tamil nadu, india
Remote
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...
Posted 2 months ago
3.0 - 5.0 years
0 Lacs
chennai, tamil nadu, india
Remote
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...
Posted 2 months ago
3.0 - 5.0 years
0 Lacs
chennai, tamil nadu, india
Remote
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...
Posted 2 months ago
4.0 - 6.0 years
0 Lacs
gurugram, haryana, india
On-site
Skills & Qualifications Exp - 4-6 years in Real world data analysis Qualification - Master's/PhD in statistics, M. Tech, M. Pharma Strong foundation in large database analysis, biostatistics, clinical trial, observational research and epidemiology Experience with handling large databases like administrative claims, electronic health records, patient chart review, Ability to manage multiple projects and deliver results under tight timelines Excellent interpersonal skills and analytical thoughts Tool & Platform Expertise Healthcare coding system ICD9 and 10, HCPCS, CPT, NDC etc. Use programming languages and tools such as SAS, R, R-Shiny, SQL, Python, Power BI Familiarity with RWE platforms li...
Posted 2 months ago
7.0 - 9.0 years
0 Lacs
chennai, tamil nadu, india
Remote
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processin...
Posted 2 months ago
3.0 - 7.0 years
0 Lacs
kochi, kerala
On-site
As a compassionate and dedicated Therapist, you will be joining a team that values high-quality mental health care and utilizes various therapeutic modalities to address emotional, psychological, and behavioral challenges in individuals, families, and groups. Your role will involve conducting assessments, developing treatment plans, and implementing tailored therapeutic interventions for each client. **Key Responsibilities:** - Conduct comprehensive assessments and diagnostic evaluations of clients. - Develop individualized treatment plans based on client needs and goals. - Provide psychotherapy using cognitive behavioral therapy, psychodynamic therapy, and art therapy. - Facilitate individu...
Posted 3 months ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
As a member of the clinical support team at UnitedHealth Group, you play a crucial role in ensuring high-quality care and customer satisfaction. Your responsibilities include managing member intake, handling admission/discharge information, and collaborating with healthcare facilities to process service requests effectively. Your role also involves managing referrals, triaging cases, and providing care coordination notifications. In this fast-paced customer service environment, efficiency and thoroughness are key when interacting with members over the phone. You will need to be adept at multitasking, as well as be available to work flexible schedules, including evening hours. Key Responsibil...
Posted 3 months ago
5.0 - 7.0 years
0 Lacs
chennai, tamil nadu, india
Remote
Positions General Duties and Tasks: . Process BPO Insurance Claims timely and qualitatively . Meet & Exceed Production, Productivity and Quality goals . Review BPO medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities . Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing . Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills . Stay up to date on new policies, processes, and procedures impacting the outcome...
Posted 3 months ago
3.0 - 5.0 years
0 Lacs
chennai, tamil nadu, india
Remote
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...
Posted 3 months ago
3.0 - 5.0 years
0 Lacs
chennai, tamil nadu, india
Remote
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custom...
Posted 3 months ago
1.0 - 8.0 years
0 Lacs
maharashtra
On-site
If you are looking to advance your healthcare career and gain a deeper understanding of healthcare revenue cycle management, it is essential to view your healthcare business processes through the lens of the customer. Access Healthcare offers you the opportunity to enhance your expertise in the business of healthcare, join a company that recognizes and values your contributions, and allows you to evolve into a trusted partner for your clients. You will be supported in your professional growth and empowered to focus on key performance indicators that are crucial for your clients. As a Client Partner for medical coding - Denial services at Access Healthcare in Mumbai, India, you will play a pi...
Posted 4 months ago
4.0 - 6.0 years
0 Lacs
Gurugram, Haryana, India
On-site
Skills & Qualifications Exp - 4-6 years in Real world data analysis Qualification - Masters/PhD in statistics, M. Tech, M. Pharma Strong foundation in large database analysis, biostatistics, clinical trial, observational research and epidemiology Experience with handling large databases like administrative claims, electronic health records, patient chart review, Ability to manage multiple projects and deliver results under tight timelines Excellent interpersonal skills and analytical thoughts Tool & Platform Expertise Healthcare coding system ICD9 and 10, HCPCS, CPT, NDC etc. Use programming languages and tools such as SAS, R, R-Shiny, SQL, Python, Power BI Familiarity with RWE platforms lik...
Posted 4 months ago
1.0 - 10.0 years
0 - 0 Lacs
chennai, tamil nadu
On-site
As a Same Day Surgery Medical Coder, you will be responsible for handling the day-to-day operations of Same-day Surgery Coding. Your primary tasks will include coding records according to prescribed coding standards such as ICD-9/ICD-10 and CPT, assigning diagnosis and procedure codes for patient charts, and ensuring adherence to the company's Coding Compliance policy/plan. It is essential to have a minimum of two years of Same-day Surgery Coding experience and hold a CPC or COC certification. A graduation in Life Science or medical sciences is also required. Your role will involve working towards service levels to meet productivity and quality requirements. You will be expected to improve p...
Posted 4 months ago
2.0 - 6.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Quality Control Analyst - Coding at Omega Healthcare Management Services Private Limited in Chennai, Tamil Nadu, you will play a crucial role in ensuring the quality requirements are met from both a process perspective and for targets set by the organization. Your responsibilities will include identifying methods to achieve quality targets, implementing them in consultation with the operations manager/team manager, and identifying errors efficiently during inspections. You will be required to actively participate in client calls, provide feedback face-to-face and via emails on errors identified, and ensure the correction of errors by the respective operations associates. Coaching employ...
Posted 4 months ago
2.0 - 6.0 years
0 Lacs
karnataka
On-site
Huron assists its clients in driving growth, enhancing performance, and maintaining leadership in their respective markets. Healthcare organizations are supported in fostering innovation capabilities and accelerating key growth initiatives, enabling them to shape the future rather than be disrupted by it. Collaboratively, clients are empowered to achieve sustainable growth, improve internal processes, and enhance consumer outcomes. Health systems, hospitals, and medical clinics face significant pressure to enhance clinical outcomes and reduce the cost of patient care. Merely investing in new partnerships, clinical services, and technology is insufficient to bring about meaningful change. To ...
Posted 4 months ago
5.0 - 7.0 years
0 Lacs
Chennai, Tamil Nadu, India
Remote
Positions General Duties and Tasks: . Process Insurance Claims timely and qualitatively . Meet & Exceed Production, Productivity and Quality goals . Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities . Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing . Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills . Stay up to date on new policies, processes, and procedures impacting the outcome of Clai...
Posted 6 months ago
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