Vacancy published date: 20th January 2023

Last date for accepting application:  27^th January 2023

Job Requirements:

• Medical Graduation
• CPC Certified/ Non CPC Certified
• Good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles

Job Descriptions:

·         Supports US Research Medical Directors and/or US Client Medical Directors and Client Policy Managers to provide oversight for the accuracy and quality of research materials originated from Medical Policy and Client Services.

·         Supports the scheduled review process for global and specialty policies in collaboration with the US Research Medical Directors.

·         Supports the scheduled review process for State Medicaid policies in collaboration with the US Client Medical Directors and/or Client Policy Managers.

·         Coordinates with US Research Medical Directors to manage the integrity of the Payment Policy Library and ensure the Payment Policy Library is accurate and up-to-date.

·         Supports quarterly and annual updates in collaboration with the US Research Medical Directors.

·         Ensures changes to rule sets are accurate, complete and are finished in a timely manner including documentation of notable changes.

·         Responds to the research related queries pertaining to the medical policy raised by internal personnel or client including but not limited to:

1.   Questions about claims edits that enforce medical policy.

2.   Interpretation of how claims edits relate to policy statements.

·         Recommendations regarding modifications of edits.

·         Conducts research to explore potential opportunities to expand the current medical policy set.

·         Partners well with global research team members to advance the Research agenda.

·         Educates US Client Service MDs and Client Policy Managers (CPMs) on new changes and policy updates by actively participating in monthly meetings.

·         Supports other departments and client teams within.

ATTRIBUTES AND BEHAVIORS

·         Develops and maintains positive working relationships with others.

·         Shares ideas and information.

·         Assists colleagues unprompted.

·         Takes pride in the achievement of team objectives.

·         Has credibility with peers and senior managers.

·         Self-motivated driven to achieve results.

·         Works with a sense of urgency.

·         High customer service ethic is passionate about meeting customer expectations and improving service levels.

·         Keeps pace with change acquires knowledge/skills as the business evolves.

·         Handles confidential information with sensitivity.

Salary:  4LPA to 5LPA

Job Type: Full Time

                  Day Shifts

                  Work from Office

Number of Vacancies: 20

Interview Mode: Virtual

Selection process: 

1.   Written test 

2.   HR Discussion

3.   Technical Round

Read and understand the criteria; if you meet the prerequisites and are yes to the terms and conditions. Please register for the post published.