Send me more jobs like this

Sorry, This job is expired.

CLINICAL INVESTIGATOR

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

0 - 5 years
Posted: 2018-07-12

Industry
Hospitals/Healthcare/Diagnostics
Function
Health Care
Role
Physiotherapist
Medical Officer
Consultant
Posted On
12th Jul 2018
Job Description
CALL RATI 9211611949 15 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

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


Walkin for you