Denial Review Unit

Job description - Correspond or meet with providers to resolve abusive billing practices and to reach an appropriate financial settlement - Educate providers on plan policies and guidelines, medical necessity criteria, UM programs correct billing methods and procedure codes by written and verbal communication - Audit documentation to ensure it supports...

Job description - Correspond or meet with providers to resolve abusive billing practices and to reach an appropriate financial settlement - Educate providers on plan policies and guidelines, medical necessity criteria, UM programs correct billing methods and procedure codes by written and verbal communication - Audit documentation to ensure it supports...

Job description - Correspond or meet with providers to resolve abusive billing practices and to reach an appropriate financial settlement - Educate providers on plan policies and guidelines, medical necessity criteria, UM programs correct billing methods and procedure codes by written and verbal communication - Audit documentation to ensure it supports...

**Hiring For Dispute Investigation Unit with a leading Bank**: - From 5 to 10 year(s) of experience - ₹ Not Disclosed by Recruiter - Mumbaior **Roles and Responsibilities** - Responsible for queries received from regulator/BO/IO and other stake holders. - Solely responsible for execution of below listed activities as per processes: - Reconciliation of...

EXPERIENCE REQUIRED FOR THIS ROLE - - Design, develop and build security reference architectures for Microsoft Azure Infrastructure & Applications. - Design and cloud-native architectures and designs that will allow those requirements to be met with a mínimal degree of risk to Organization and with appropriate security controls present - Work with the...

About Olam Agri Olam Agri supplies food, feed and fibre to meet rising demand and a shift to protein-based diets, particularly in Asian and African countries. Headquartered in Singapore and present on all continents, our value chains include farming, processing and distribution operations, as well as a sourcing network of an estimated 2.5 million farmers....

Unit Head - Corporate Collateral Valuation Group (CCVG) – CAD, Operations & Service Delivery Location - Mumbai No of years of experience - 10 to 15 years Experience in Banking with real estate segment within depth knowledge of related RBI regulations is must. Qualification Any Postgraduate in any specialization, B. Tech/ B. E with specialization in Civil...

About Olam AgriOlam Agri supplies food, feed and fibre to meet rising demand and a shift to protein-based diets, particularly in Asian and African countries. Headquartered in Singapore and present on all continents, our value chains include farming, processing and distribution operations, as well as a sourcing network of an estimated 2.5 million farmers. Our...

About Olam AgriOlam Agri supplies food, feed and fibre to meet rising demand and a shift to protein-based diets, particularly in Asian and African countries. Headquartered in Singapore and present on all continents, our value chains include farming, processing and distribution operations, as well as a sourcing network of an estimated 2.5 million farmers. Our...

Medical Coding Level Individual contributor Experience Range 2-6 years Job Timing 07:30AM to 05:00 PM IST Duties & Responsibilities Specialisations needed (anyone) => Gastroenterology Coding => Orthopedic QC => General Surgery => Multispeciality Denial Coding => IVR Surgical Coding - Strong knowledge of anatomy, physiology, and medical terminology -...

Branch Overview :Branch delivers world-class financial services to the mobile generation. With offices in the United States, Nigeria, Kenya, and India, Branch is a for-profit socially conscious company that uses the power of data science to reduce the cost of delivering financial services in emerging markets. We believe that everyone, everywhere deserves...

Job Purpose: - Responsible for handling customer complaints escalated to the MD/Senior Management/Principal Nodal Officer / Grievance Redressal Officer. Review of customer complaints and provide suitable resolution/response within stipulated guidelines. Liaise with various functional units in the Bank and ensure complete resolution within stipulated...

**Job Purpose**: The Post Execution Quality Reviewer (PEQR) will be part of the ICG KYC Post Execution Quality Review Team unit. The unit is tasked with conducting quality control reviews across Corporate and Investment Bank, Direct Custody & clearing and Investor services client population. Responsibility includes reviewing approved KYC records and...

**Job Purpose**: The Post Execution Quality Reviewer (PEQR) will be part of the ICG KYC Post Execution Quality Review Team unit. The unit is tasked with conducting quality control reviews across Corporate and Investment Bank, Direct Custody & clearing and Investor services client population. Responsibility includes reviewing approved KYC records and...

Technical Knowledge of IT Software Courses:Demonstrate proficiency in various IT software domains such as programming languages, databases, web development, cybersecurity, cloud computing, etc.Stay updated with the latest technologies and advancements in the IT industry.Collaborate with subject matter experts to ensure accuracy and relevance of course...

Branch Overview :Branch delivers world-class financial services to the mobile generation. With offices in the United States, Nigeria, Kenya, and India, Branch is a for-profit socially conscious company that uses the power of data science to reduce the cost of delivering financial services in emerging markets. We believe that everyone, everywhere deserves...

Branch Overview : Branch delivers world-class financial services to the mobile generation. With offices in the United States, Nigeria, Kenya, and India, Branch is a for-profit socially conscious company that uses the power of data science to reduce the cost of delivering financial services in emerging markets. We believe that everyone, everywhere deserves...

Branch Overview :Branch delivers world-class financial services to the mobile generation. With offices in the United States, Nigeria, Kenya, and India, Branch is a for-profit socially conscious company that uses the power of data science to reduce the cost of delivering financial services in emerging markets. We believe that everyone, everywhere deserves...

Branch Overview :Branch delivers world-class financial services to the mobile generation. With offices in the United States, Nigeria, Kenya, and India, Branch is a for-profit socially conscious company that uses the power of data science to reduce the cost of delivering financial services in emerging markets. We believe that everyone, everywhere deserves...

-Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, pt estimation calculation -Successfully works with payers via electronic/telephonic and/or fax communications. -Responsible for verification and investigation of pre-certification, authorization, and referral requirements for services....