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MBBS/ BDS/BHMS /Pharm D For US Healthcare process

0 years

0 Lacs

Hyderabad

Posted:3 weeks ago| Platform: Naukri logo

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Skills Required

Medical Expertise and Knowledge US Healthcare System Knowledge MS Office Communication and Interpersonal Skills Analytical and Problem-Solving Skills Ethical Integrity and Professionalism Teamwork and Collaboration

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities Prioritization and Prior Approval : Responsible for evaluating the patient's condition, determining the medical necessity, and submitting the necessary documentation to the insurance company for approval ensuring that the proposed treatment or service is covered by the insurance policy before it is performed. Medical Necessity Determination : Responsible to provide additional documentation or explanation to support the medical necessity of specific treatments or procedures justifying the necessity of certain medical interventions to ensure proper reimbursement. Diagnosis and Treatment Coding : Responsible to assign appropriate diagnosis codes (ICD10) and procedure codes (such as Current Procedural Terminology or CPT codes) to accurately represent the patient's condition and the medical services rendered which are necessary for billing and reimbursement purposes. Preferred candidate profile 1. MBBS from India, MBBS from foreign countries like China, Russia, Ukraine etc., BHMS, BAMS, BDS, MDS, M Pharm, Pharm D, BPT. 2. Night Shift only. 9.00 pm to 6.30 am 3. Work from Office only 4. MS Office (Word, Excel, Power Point) 5. Both Fresher and Experinced candidates are eligible

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