Fresher Medical Analyst Jobs

Ielts/ German Not Mandatory in Germanyvisa Duration- 12 Months to 3 Yearsfree Medical and Education Facilities for Familyfamily Visagovt Sponsored Visaspouse Can Legally Workfree Medical Insurance.

As a Medical Underwriter, you will play a crucial role in assessing medical information to evaluate insurance applications. Your job will involve analyzing various health data to determine the risk involved in offering insurance coverage.Key Responsibilities:- Review Medical Records: Analyze applicants' medical histories to identify potential health risks that could affect insurance eligibility.- Evaluate Health Risks: Assess the severity of medical conditions and their impact on the applicants life expectancy and overall health.- Determine Underwriting Decisions: Make informed decisions on insurance applications based on detailed risk assessments and guidelines.- Communicate Findings: Prepare clear reports summarizing your evaluations and explain decisions to underwriting managers and other stakeholders.- Stay Updated on Medical Guidelines: Continuously learn about new medical conditions, treatments, and underwriting guidelines to improve assessment accuracy.- Collaborate with Other Departments: Work closely with sales, claims, and actuarial teams to ensure decisions align with company policies and client needs.To succeed in this role, you should possess strong analytical skills to interpret medical data effectively. Detail orientation is essential for examining records accurately. Good communication skills will help in conveying your findings clearly to colleagues and clients. A willingness to learn and adapt to evolving medical knowledge is also important, as the field is constantly changing. Finally, you should be comfortable working in an office environment and collaborating with team members to support overall business objectives.

AR CALLERSWork from OfficeMinimum 1.5 years40 MaxNight ShiftUS Shift- 5 pm to 2.30 am , 6.30 pm to 3.30 amMonday to Friday, Saturday and Sunday fixed offMale and Female4to 4.5 Lpa + IncentivesExcellent communicationUS Healthcare, Voice Process, RCM3 Rounds 1. HR Round, 2. Comms round- Voice and accent, 3. Opps RoundMedical coding, Demographic entry, Insurance eligibility check, Charge entry, Payment posting to patient account, Denial management/resolution, Outbound calling to insurance payer,RCM,GE centricity application, Anesthesia

Responsibilities:- Review and assess medical records and health information to determine insurability and risks for insurance policies- Analyze and evaluate medical history, diagnosis, treatment plans, and prognosis to make underwriting decisions- Communicate with healthcare providers and medical experts to gather additional information and clarification as needed- Utilize medical knowledge and terminology to accurately assess and classify risks for various medical conditions and procedures- Collaborate with underwriting team to make recommendations and decisions on insurance applications.

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

Medical Coding is the Fastest-growing Profession in the Healthcare Industry Today. It is a Niche Specialization and the Demand for Trained and Certified Medical Coders is Increasing Exponentially and Bound to Increase in Upcoming Years, Especially in India.you have At Least a Diploma/degree in Any Field.this Role is Open to Fresh Graduates with Excellent English Communication Skills.you are Goal-oriented and Thrive in Fast-paced EnvironmentsIdentify 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.Should have good knowledge in Medical codingShould be Certified Medical CoderShould have good communication skillsImmediate joinees are neededJob Type: Full-timeSalary: 15,000.00 - 23,000.00 per monthSchedule:Day shiftMorning shift