Tn Clinical investigator Jobs – 8 Open Jobs Today

Clinical Investigator
Optum —Chennai, Tamil Nadu
- Full-time
- Nursing
- B.Sc
- Analysis skills
- Health insurance
Senior Clinical Research Coordinator
Apollo Research and Innovation —Chennai, Tamil Nadu
- ₹26,000 - ₹30,000 a month
- Full-time
- English
- Master's degree
- In-person
Quick apply
13d
Research Coordinator
Apollo Research and Innovation —Greams Road, Chennai, Tamil Nadu
- ₹10,025.64 - ₹35,345.67 a month
- Full-time
- Research
- Bachelor's degree
- In-person
Quick apply
10d
Clinical Data Coordinator - Senior
ICON Plc —Chennai, Tamil Nadu
- Full-time
- Oracle
- Bachelor's degree
- Travel
- Health insurance
1d
Regional Medical Advisor
Abbott Laboratories —Chennai, Tamil Nadu
- Full-time
- Communication skills
5h
Project Technical Support-III
Desirous Global Consulting —Chennai, Tamil Nadu
- ₹3.00 - ₹8.50 an hour
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
IkS Institutional Internship - Psychology / Philosophy
Rathinam International Public School —Coimbatore, Tamil Nadu
- From ₹10,000 a month
- Full-time
- Internship
- Health insurance
- Life insurance

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Clinical Investigator

Optum -
Chennai, Tamil Nadu

Apply Now

Job details

Full-time

Benefits

Health insurance

Qualifications

Nursing
B.Sc
BUMS
Analysis skills
Science
Medical records
Bachelor's degree
CPT coding
BAMS
MPT

Full job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.

Primary Responsibilities:

Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies
Adherence to state and federal compliance policies and contract compliance
Assist the prospective team with special projects and reporting
Work is frequently completed without established procedures
Works independently
May act as a resource for others
May coordinate others' activities
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

Graduation - Any Graduate, BHMS/BAMS/BUMS/BPT/MPT (preferred)
B.Sc. Nursing and BDS with 1+ years of corporate experience
Certified coder through AAPC
Certifications accepted - CPC Only
1+ years of experience (if not medical graduate) - specialty coding such as E&M, surgery, anesthesia etc., but not only HCC
Extensive work experience within own function
Proven attention to detail & Quality focused
Proven excellent analytical & comprehension skills

Preferred Qualifications:

Claims processing experience
Health Insurance knowledge, managed care experience
Knowledge of US Healthcare and coding
Medical record familiarity

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Apply Now

Refine Your Search

clinical investigator jobs in tn

Clinical Investigator

Senior Clinical Research Coordinator

Research Coordinator

Clinical Data Coordinator - Senior

Regional Medical Advisor

Project Technical Support-III

IkS Institutional Internship - Psychology / Philosophy

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