Noida Uttar Pradesh Bhms Jobs – 12 Open Jobs Today

Clinical Investigator
Optum —Noida, Uttar Pradesh
- Full-time
- Microsoft Word
- Medicine
- Microsoft Excel
- Health insurance
Non Clinical Job - BAMS / BHMS Doctors
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Noida, Uttar Pradesh
- ₹21,000 - ₹30,000 a month
- Full-time
- In-person
- Health insurance
Quick apply
Medical Officer
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Noida, Uttar Pradesh
- ₹2,80,000 - ₹3,50,000 a year
- Full-time
- Walk-in
- Medicine
- Bachelor's degree
- In-person
- Health insurance
Quick apply
Senior Cosmetologist MBBS/BDS/BHMS
Skinfinity Derma Skin Hair & Laser Clinic —Noida, Uttar Pradesh
- ₹50,000 - ₹60,000 a month
- Full-time
- Hospitality
- Medicine
- Customer service
- Food provided
Quick apply
BAMS, BHMS, BUMS for IVF Counsellor
HomeIVF —Noida, Uttar Pradesh
- Full-time
- Bachelor's degree
- In-person
- Communication skills
- Health insurance
Quick apply
Manager – Claim Investigations
THRIVE CAREER TODAY —Noida, Uttar Pradesh
- ₹4,00,000 - ₹7,00,000 a year
- Full-time
- B.Sc
- English
- Master's degree
- Health insurance
Quick apply
Resident Medical Officer (RMO)
SPES Super Speciality Hospital, Greater Noida —Greater Noida, Uttar Pradesh
- ₹25,820.04 - ₹1,29,047.81 a month
- Full-time
- Medicine
- Bachelor's degree
- In-person
- Health insurance
Quick apply
Admission Counselor
Medmaster Academy —Noida, Uttar Pradesh
- From ₹25,000 a month
- Urgently hiring
- Medicine
- Master's degree
- Administrative experience
- Cell phone reimbursement
Quick apply
6d
Resident Medical Officer
ARSI Medical Centre —Dasna, Uttar Pradesh
- From ₹20,000 a month
- Email
- Medicine
- Administrative experience
- Bachelor's degree
Quick apply

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Clinical Investigator
Optum —Noida, Uttar Pradesh
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,…
Non Clinical Job - BAMS / BHMS Doctors
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Noida, Uttar Pradesh
Shifts: Rotational Day Shifts *( Work From Office ONLY)*. To approve PAs based on the buckets allotted to each approver.
₹21,000 - ₹30,000 a month
Quick apply

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Clinical Investigator

Optum -
Noida, Uttar Pradesh

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Job details

Full-time

Benefits

Health insurance

Qualifications

Microsoft Word
Medicine
Microsoft Excel
MBBS
BUMS
Analysis skills
Bachelor's degree
CPT coding
BAMS
Communication skills
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.

This process works on identifying Fraud, Waste and Abuse between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. They approve/deny claims & Identify provider aberrant behavior patterns. The associates prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/ diagnosis codes, CMS guideline along with referring to client specific guidelines and member policies.

Fraud is intentionally misrepresenting or concealing facts to obtain something of value. The complete definition has three primary components:

Intentional dishonest action or misrepresentation of fact
Committed by a person or entity
With knowledge that dishonest action or misrepresentation could result in an inappropriate gain or benefit

This definition applies to all persons and all entities. However, there are special rules around intentional misrepresentations to Government programs such as Medicare & Medicaid, or TRICARE.

Waste includes inaccurate payments for services, such as unintentional duplicate payments, and can include inappropriate utilization and/or inefficient use of resources.

Abuse includes any practice that results in the provision of services that:

Are not medically necessary
Do not meet professionally recognized standards for health care
Are not fairly priced

Primary Responsibilities:

Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes , CMS 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
Coordinate with all team members and share recent process related updates
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:

Medical degree - MBBS/BHMS/BAMS/BUMS/BPT/MPT/BDS
Graduate - "Results awaited" candidates will not be accepted
Knowledge of US Healthcare and coding & experience in U.S. healthcare
Proven attention to detail & quality focused
Good knowledge of MS Word & MS Excel

Preferred Qualifications:

Flexibility - Ready to accommodate the working hours and working days depending on the Business Need
Ready to support the business during peak volumes as & when needed
Proven high attention to detail which translates to 100% quality of work performed
Proven good written and verbal communication skills
Proven team player
Proven ability to work independently without close supervision
Proven good analytical skills. He should have the ability to understand the mistakes and correct the same
Ability to work 100% from office

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.

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bhms jobs in noida uttar pradesh

Clinical Investigator

Non Clinical Job - BAMS / BHMS Doctors

Medical Officer

Senior Cosmetologist MBBS/BDS/BHMS

BAMS, BHMS, BUMS for IVF Counsellor

Manager – Claim Investigations

Resident Medical Officer (RMO)

Admission Counselor

Resident Medical Officer

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