Medical Audit Associate - Vadodara
Job Description
Hello Shivani this Side From Bright IT Global Solution PVT.LTD
Send me your CV And Some details And Ping me on The same no :9289720859
Job Description:
- Job Role (Brief description of the overall purpose of this role):
Being a part of very complex yet important process, the associate is responsible to
review the medical records (CPL - Conditional Payment Letter) and perform
necessary action as per the process. Taking the lien resolution to the further level.
He/she will ensure that the correct information captured in CPL (Approved/Denial),transcribed accurately, and point out the process anomaly and perform quality
check.- Responsibilities / KRAs ( list down primary responsibilities for this role):
Review medical document (CPL) available in LPM as per the audit protocol, Code set
and capture Approved/Denial charges in CPL of the claimant.
Need to achieve 100% accuracy by following SOP and audit protocol.
The candidate is expected to be well-organized and creating positive work
environment.