BDS Fresher Jobs in Chittoor

Identify cases eligible for medical reviews and assign these to appropriate reviewers.Reach out to the client for any problems identified in the cases for review.Adhere to Utilization Review Accreditation Commission (URAC), jurisdictional, and/or established MediCall best practice UM time frames, as appropriate.Adhere to federal, state, URAC, client, and established MediCall best practice WCUM time frames, as appropriate.Develop a complete understanding of the Medical management Procedures.Perform medical review assessment (MRA) on utilization of health services (eg healthcare plans, workers compensation products etc) in an accurate, efficient and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates.Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment, casually related care, response or lack of response to treatment, etc.Identify missing records and information that are necessary in the completion of the medical review assessment.Adhere to Department of Labor, state and company timeframe requirements.Coordinates physician reviewer referral as needed and follows up timely to obtain and deliver those results.Track status of all utilization management reviews in progress and follow up on all pending cases.Work closely with management team in the ongoing development and implementation of utilization management programs.Respond to inbound telephone calls pertaining to medical reviews in a timely manner, following client a established protocols.Process customer calls consistent with program specified strategies and customer satisfaction measurements to include but not limited to proper answering procedure, eg opening and closing remarks.Learn new methods and services as the job requires.Ct:HR BHAVANI9566284629

We are looking for a Paramedical Technician to join our team in Tirumala, Chittoor. This is a full-time office-based position suitable for recent graduates.In this role, you will primarily be responsible for medical coding, which involves converting healthcare service-related text into numeric diagnosis and procedure codes using ICD-10 CM and CPT coding systems. You will work with healthcare documents to ensure accurate coding, contributing to efficient healthcare service management.Key responsibilities include:- Medical Coding: Utilize ICD-10 CM and CPT coding systems to convert healthcare information into numeric codes accurately.- Record Maintenance: Ensure all medical records are updated and maintained in compliance with healthcare standards.- Collaboration: Work closely with other healthcare professionals to ensure coding accuracy and compliance.To succeed in this role, you should possess strong analytical skills and attention to detail. A background in life sciences or paramedical studies is essential, as is a familiarity with medical terminology. You should also be adept at using coding software and have a commitment to maintaining confidentiality in line with healthcare regulations.The position requires a graduate level of education and offers an opportunity to gain valuable experience in the healthcare sector. If you are a motivated individual keen to start your career as a Paramedical Technician, we encourage you to apply.

* Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy).* Should be a good team player with good attitude.* Should be flexible to work in rotational shifts whenever required*Ready to Join with us immediately.The coder reads the documentation to understand the patients diagnoses assigned - Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes - Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders - Medical coding allows for Uniform documentation between medical facilities - The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include: - 0 -1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Pharm/Nursing - Good knowledge in human Anatomy/Physiology - 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools - Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements.CT:HR Lavanya9566157632