Executive Reviewer Jobs in Bangalore - Vibrant hr consultancy
Job Description
- We have Immediate Openings for Executive Reviewer : Nclex Certified Nurses US Healthcare Process - MNC - Bangalore
- Location : BangaloreCTC : 4.00 L - 6.00 L
- Shift : US Rotational Shift
- Notice Period : Immediate /15 days - 60 days
Desirable Qualification :
- Nclex Certified Nurses (Fresher also can apply)
- Review medical records and follow stringent protocols to determine whether patients meet the standards for insurance reimbursement.
- Clinical review for medical necessity of identified claims.
- Documentation of clinical rationale supporting findings of the review.
- Apply clinical judgment, honed over years in acute care settings, to make responsible decisions that promote appropriate records review and applications usage while keeping resources available to those most in need.
- Have understanding of ICD-9, CPT and HCPCS codes and their application in the US Health insurance domain.
- Review and validate all information pertaining to the claim.
- Comply with procedures, regulations, and rules in maintaining medical records.
- Interacts on a continuous basis with other departments by directing activities towards positive outcomes.
Desirable skillsets
- NCLEX certification (Mandatory)
- Nursing Graduate (GNM or Bachelors or Masters in Nursing) from registered nursing college in India
- Clinical experience of minimum 2 years for working in a hospital
- Proficiency in English grammar & good writing skills
- Minimum experience of 1 year working in US Healthcare organization
- Proficiency in MS Office tools
- Good verbal and written communication skills
Job Particulars
Role others
Education BSc
Who can apply Experienced (1 Years)
Hiring Process Face to Face Interview, Telephonic Interview
Employment TypeFull Time
Job Id442517
Job Category Analyst / Analytics , Logistics / Transportation
Locality Address
State Karnataka
Country India
About Company
Vibrant HR is a Bangalore based Human Resource Sourcing and Staffing company set up in 2010. Our clients rely on us for their complete staffing requirements ranging from a single “hard-to-fill” top management position to massive hiring for junior level positions.
We have expertise in sourcing candidates for all levels such as senior level positions, middle management positions, specific technical skills or entry-level positions. All projects that we undertake get the best of services and the same level of quality, irrespective of the size of the contract.
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