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CLINICAL INVESTIGATOR

Keywords / Skills : BHMS, BPT, MPT, CLINICAL INVESTIGATOR, BACHELOR IN HOSPITAL MANAGEMENT

0 - 5 years
Posted: 2018-07-27

Industry
Hospitals/Healthcare/Diagnostics
Function
Health Care
Role
Physiotherapist
Medical Officer
Consultant
Posted On
27th Jul 2018
Job Description
CALL RATI 9211611949 25 JULY MEGA WALKIN FOR CLINICAL INVESTIGATOR IN UNITED HEALTH GROUP(OPTUM)NOIDA/BHMS/BAMS/BUMS/BPT/MPT/BDS ANY/SALARY FRESHER UP TO 2.4 LPA/EXPERIENCED 5 LPA

POSITION CLININCAL INVESTIGATOR

SAL FOR FRESHER UPTO 2.4 LPA

EXPERIENCED UP TO 5 LPA

LOCATION NOIDA

EXCELLENT KNOWLEDGE OF ANATOMY AND PHYSIOLOGY
Purpose of Job

This process works on identifying discrepancies between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. They approve/deny claims & Identify provider aberrant behavior patterns. The associates prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/ diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies

Job Responsibilities

-Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes , CMC guideline along with referring to client specific guidelines and member policies

-Adherence to state and federal compliance policies and contract compliance

-Assist the prospective team with special projects and reporting

Required Qualifications:

Medical degree - BHMS/BAMS/BUMS/BPT/MPT

0 to 3 years of overall experience (Freshers can apply)

BDS experienced (2 Years Corporate experience )

Thanks & Regards

Future plannerz

Rati Sud ( Hr Head Support Pan India)

Contact No : Cl/ whats app 9211611949

Email: [HIDDEN TEXT]



About Company

OPTUM
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