Medical Executive Job Vacancies in Ekkatuthangal

Prior Authorization Executive (Laterals) in Medical BillingJob DescriptionWho You Are:Case Management: You will oversee a large number of prior authorisation requests, making sure that all required clinical evidence is sent to insurance payers on time and accurately.Payer Communication: As the main liaison with insurance companies, you will enquire about authorisation statuses and appeal denials in order to obtain approvals for necessary services.Clinical Collaboration: To gather the data and medical records needed to support each authorisation request, you will collaborate closely with physicians and clinical personnel.Process Optimisation: You will spot patterns in authorisation delays and denials, offering insightful criticism to assist us enhance our internal procedures and raise approval rates.Experience: 1 to 3 yrsSalary: Based on Company NormsEducation: Any Basic DegreeLocation: In And Around ChennaiIf you're an enthusiastic learner looking for a stepping stone into a rewarding career, we encourage you to apply! HR - Maria88708 33430infohrmaria04@gmail.com

making calls to market the medical surgical products to the Surgeons and Dental professionals to take orders over telephone

Position: Tele Medical Executive (20 Openings)Roles & Responsibilities:Conduct tele-medical interviews with prospective customers of the insurance company.Accurately capture and update customer information in the insurers system.Handle additional responsibilities related to medical underwriting as required by the insurer.Ensure quality and compliance while interacting with customers.This job description is not restrictive and may be subject to change based on business needs.Key Requirements:Good communication and interpersonal skills.Ability to handle confidential medical information with integrity.Flexibility to work on weekends (compensatory off will be provided).Education:BAMS/ BHMS/ BDS/BPT / M PharmaWork Schedule:Working Hours: 9 hours per dayWorking Days: 6 days a weekLeave Policy: 1 leave per month

JOB VACCANCYRs 16000- Salary. CompanyM/s.JRL MEDICAL DEVICES PVT LTD. Candidates RequiredPosition - Service Executive. Field - Medical Devices - Supplies- Arthroplasty Products - DEPUY -Johnson and Johnson-Total Knee & Hip Replacement Instruments and Implants. Location- Chennai - Kodambakam.CALL AND FIX APPOINTMENT FOR INTERVIEWQualification- 12th Or Diploma, Degree completed or Discontinued.

Nursing Graduates for Utilization Management Specialist/Prior Authorization Specialist - NIGHT SHIFTJob Title:Utilization Management Specialist/Prior Authorization SpecialistJob Description:We are looking for a motivated and detail-oriented Utilization Management Specialist to join our team. As a fresher In this role, you will help review medical information to ensure that healthcare services are necessary and follow best practices. You will support the approval of healthcare services to ensure they are cost-effective and meet patient needs.Preferred SkillsFamiliarity with MCG/Inter Qual Guidelines is a plus.Keep up-to-date with regulations and maintain organized records of all activities.Experience with Medicaid, Medicare, and Managed Care is helpful.Strong knowledge of anatomy, physiology, and medical terminology.Proficient in MS Office applications.Excellent communication skills and ability to work both independently and in a team.Strong analytical and problem-solving skills.Key Functions:Review outpatient procedures, inpatient admissions, home health, and behavioral health services to check if they are necessary.Work with providers and medical directors to get prior authorization and plan for case reviews when needed.Collaborate with clinical staff to ensure appropriate care and resource use.Participate in quality improvement projects and help develop clinical guidelines.Monitor and report on utilization trends to management.Qualifications :Candidates with aBachelor's Degree in Nursingare eligible to applyFreshers also can apply.Candidates already havingwork experience in Hospital Fieldis added advantage.Preference : Female/ Male Candidatescan apply.Shift :Day Shift 8AM to 5PM / Night Shift 9 PM TO 6 AMLocation:Chennai, OMRNo of Openings: 5Perks and BenefitsFive Days of workingSaturday and Sunday fixed Week offDouble Wages (If working on Saturday/Sunday)Both 2 way Cab facility