Sunday, July 20, 2014

Medical Officer Openings @ Paramount Health Services





PARAMOUNT is the place where smart, motivated people can put their careers on the fast track. Companywide, we have created an environment where innovative thinking is encouraged, initiative is rewarded, and reputations are made. There's no better place to turn your professional goals into results.
 

Current Openings:



Title : 
Medical Officer/ Sr. Medical Officer
Experience : 
2.0 Years
Department : 
Medical management
Description : 
- Medical Scrutiny Of Health insurance Claim Documents.
- Co-ordination With Insurance companies,
- Inter departmental Co-ordination - Issuance Of Cashless - Claim Investigation
Key Skills : 
- Mbbs/bams/bhms Qualified
- Good Written And Verbal skills.
- Insurance Sector Knowledge Is An Added Advantage.
- Permanent registration As A Medical Practitioner Is Must.
- Freshers With good Academic record will Be Considered
Qualification : 
Mbbs/bams/bhms
Status : 
Full Time
 
 
Title : 
Executive
Experience : 
1.0 Years
Department : 
Customer Service
Description : 
O reply To Client Queries Regarding Tpa Processes (preauthorisation Status, Claims Status, policy Benefits Etc.) o co-ordination With Related Departments o tele Underwriting
Key Skills : 
-good Communication And Interpersonal Skills. -willingness’ To Work In Shift -knowledge Of Medical Terminolgy Will Be An Added Advantage - Freshers With Good Aptitude Will Be Considered
Qualification : 
Graduate / Undergrad
Status : 
Full Time
 
 

Saturday, July 12, 2014

Medical Coding Openings @ Omega Healthcare, Bangalore, Chennai

omegahms

At Omega, ‘performance’ and ‘merit’ are the two most important drivers for employee growth. Our ‘Internal Job Posting’ program is a strong testimony to this. Most of our junior and middle management employees have been groomed internally to become the stellar performers they are today. 

Jobs @ Omega
Omega Healthcare Management Services does not extend employment offers to anyone without first meeting the individual in person. We do not hire through non-subscription based job portals or through internet chat.


Current Openings

Position: Executive / Senior Executive AR

Reference: AR – Exp
Location: Bangalore / Chennai / Trichy
Job Description:
  • Understand the client requirements and specifications of the project
  • Ensure targeted collections are met on a daily / monthly basis
  • Meet the productivity targets of clients within the stipulated time
  • Ensure that the deliverables to the client adhere to the quality standards
  • Ensure follow-up on pending claims
  • Prepare and maintain status reports
Desired Profile:

  • Graduates
  • 1 to 3 years work experience in calling for collections and insurance follow-up in the medical billing industry
  • Good analytical and communication skills
  • Willingness to work during US day shift
  • Basic keyboard skills & MS Office knowledge

Position: Process Associate / Senior Process Associate

Reference: PA/SPA
Location: Bangalore / Chennai / Trichy
Job Description:

  • Process medical data
  • Enter charges and post payments in the software
  • Understand the client requirements and specifications of the project
  • Meet the productivity targets of clients within the stipulated time
  • Ensure that the deliverables to the client adhere to the quality standards
  • Prepare and maintain status reports
Desired Profile:

  • Graduates / Diploma holders
  • Hands-on experience in Demo & Charges, Cash Posting and Payment Posting in Medical
    Billing Industry
  • 6 months to 3 years experience in medical billing process
  • Willingness to work in rotational shifts, including the night shift
  • Effective communication skills

Position: Coder

Reference: Coder-Exp
Location: Bangalore / Chennai / Trichy
Job Description:

  • Understand the client requirements and specifications of the project and code the charts accordingly
  • Meet the productivity targets of clients within the stipulated time
  • Ensure that the deliverables to the client adhere to the quality standards
  • Prepare and maintain status reports
Desired Profile:
  • Graduates
  • Good knowledge of human anatomy and physiology
  • 6 months to 3 years experience in medical coding
  • Basic keyboard skills with effective communication skills

Position: Junior Process Associate

Reference: JPA
Location: Bangalore / Chennai / Trichy
Job Description:
  • Process medical data
  • Enter charges and post payments in the software
Desired Profile:

  • 1 to 3 years of relevant experience
  • Good typing skills of 40 words per minute
  • Good analytical skills
  • Effective knowledge of English
  • Preferred experience in medical billing
  • Willingness to work in rotational shifts, including the night shift

Position: Trainee AR

Reference: AR-Trainee
Location: Bangalore / Chennai
Job Description:

  • Understand the client requirements and specifications of the project
  • Ensure targeted collections are met on a daily / monthly basis
  • Meet the productivity targets of clients within the stipulated time
  • Ensure that the deliverables to the client adhere to the quality standards
  • Ensure follow-up on pending claims
  • Prepare and maintain status reports
Desired Profile:

  • Graduates / Diploma holders with excellent communication skills
  • Good analytical skills
  • 0 to 2 years of experience
  • Experience in domestic / international call centers or medical / hospital billing knowledge will be an added advantage
  • Willingness to work during US day shift
  • Basic keyboard skills

Position: Trainee Coder

Reference: Coder-Trainee
Location: Bangalore / Chennai / Trichy
Job Description:

  • Understand the client requirements and specifications of the project and code the charts accordingly
  • Meet the productivity targets of clients within the stipulated time
  • Ensure that the deliverables to the client adhere to the quality standards
  • Prepare and maintain status reports
Desired Profile:
  • Graduates / Post-Graduates in Life Science – Pharmacy, Physiotherapy, Zoology, Microbiology, BAMS, BHMS, BUMS
  • 0 to 2 years of relevant experience
  • Good knowledge of human anatomy and physiology
  • Training in medical coding will be an added advantage
  • Basic keyboard skills with effective communication skills
Please send your resume with job references to one of the two emails listed below, based on your preferred location:
Bangalore & Chennai:
Trichy:





Thursday, July 10, 2014

My views on Medical Coding for Pharma Graduate

 
Medical Coding is a process of converting the disease condition or the procedure done to the patient into a valid, globally accepted code.
 
For Example:
1)      Regarding conversion of Disease into a valid code, the coder’s uses the book named as ICD abbreviated as International classification of Diseases which is prepared by WHO.
Example for conversion: Hypertension is coded as 401.9
2)      Regarding conversion of procedure into a valid code, the coder’s uses the book named as CPT abbreviated as Common procedural terminology which is prepared by AMA (American medical association).
Example for conversion: Patient met with an accident and suffered with an open wound on his/her hand with area of 2.5cms or less, if physician done an simple repair on it with placing sutures and all its coded as 12001.
What to learn before entering into Coding:
Medical coding requires lot of knowledge regarding the Anatomy and physiology part, as in the daily life they need to come across hundreds of electronic medical records which are solely prepared by Physicians. This is the reason medical coding companies prefers science graduates. For fresher’s Anatomy & physiology is the only need to enter into medical coding.
 
Courses:
There is no need of any courses for an entry into medical coding. Courses like CPC (Certified professional coder) and CCS (Certified coding specialist) etc., can be done after entry.
Institutions:
For institutions regarding Medical coding, you should join in an institute where they says what coding means, some classes regarding how to code ICD & CPT finally showing some placements, I mean sending you to interviews not more than that.
According to my opinion, the best institution in Chennai is Achievers spot where they teach ICD & CPT and shows some placements like letting you know where the interviews are going on. In Chennai & Bangalore the openings are more compared to other cities for either fresher’s or experienced.
 
Career growth:
 
Medical coding sector will have a good growth according to Indian market, the outsourcing of medical coding need is nearly 27% but the Indians are coding only 0.7% as there is a lack of coding people. That’s the reason from around 3 years the intakes of coding people are much higher and the openings are in thousands, mainly in cities like Chennai, Bangalore, Hyderabad, Pune etc. So hoping lots of jobs in the future with an good growth.
 
In the mean while you should increase your knowledge behalf of Coding and further studies like MSC or PhD, because it helps to grow in any organization.
 
Pay scale:
 
The fact is Medical coding has lesser salaries when compared to others, the salary starts with 8-12 thousand per month based on company norms. Later with an experience
 
6Months – 1 year = 15-18
 
1 year – 2years = 21-25
 
If you get certified in coding like CPC (Certified professional coder) and CCS (Certified coding specialist) etc... Then you have lot of jobs in your hand with good pay, not only in India but in many countries, which shows difference in the pay and difference between certified and non-certified.
 
If certified the career starts with 18 thousand for fresher’s and 8-12 thousand for non-certified.
 
Suggestions:
In case you need a fast growth and good salaries initially, it’s not a good option. The career grows with normal salaries and cool life with 2 days holidays like other software companies. It will be a better option for the people who want cool life rather than a Pharma Life which have lot of work, audits, 6 days working and other stuff.
 
 Regards
 
Ajay Varma Alluri
Sr. Representative | Medical records coder
Dell services
+919094949342
 
 
 
You can also check :
 
 

Wednesday, July 9, 2014

Sr Claims Associate Opening @ UST Global

ust


 
We are a leading IT company with more than 14000 employees. We are one of the fastest companies to attain CMM Level 5, CMMi, and PCMM Level 5. We have vast experience in software solutions for areas like retail, banking & financial services, airlines, healthcare, shipping & transportation, networking, telecommunications automobiles and manufacturing.
 

Designation

Sr Claims Associate
Job Description We are looking candidates for the below mentioned requirement, if the JD is of your interest please share your updated resume to

akila.kothandam@ust-global.com


with the below mentioned details:-

CTC:
ECTC:
Exp:
NP:

CANDIDATE SHOULD BE COMFORTABLE WORKING IN SHIFTS

Benefit Analyst Responsibilities
Analyze benefit requests and secure all necessary data to ensure appropriate. implementation based on applied logic of RxCLAIM (by SXC) pharmacy claim adjudication system.

 o Work with Client Management to implement new and maintain existing benefit plans and client pricing in the pharmacy claim adjudication system.

 o Work with Clinical Pharmacy to implement formulary updates and clinical programs in the pharmacy claim adjudication system.

 o Work with Pharmacy Network Management to implement pharmacy rate changes and network additions in the pharmacy claim adjudication system.
Ensure timely communication of any issues and/or information needed to complete a plan request. Develop client specific implementation plans and manage implementation processes in accordance with department protocol.
Run queries out of the RxCLAIM adjudication system to secure all necessary information to implement plan requests.

 Develop and run macros in RxCLAIM to implement plan requests.
Perform claim testing to ensure accurate claim adjudication.
Maintain acceptable and appropriate quality levels and production turn around times Adhere to all documentation standards within the department.
Assist with the development of process improvements for the department.
Research and respond to all claims processing inquiries from Client Management, Clinical, and other internal department.
Participate in team meetings.
May be assigned to work on special projects and business initiatives.
Performance Standard Ability to maintain an accuracy rate of 98% or better
Adherence to company attendance policy Able to work independently
Completes assigned projects on time.


Skills
Microsoft Office proficiency Word and Excel, specifically Advanced Excel skills -- must have ability to create Excel spreadsheet, macros, compile/analyze data for reporting;
Strong written and verbal skills;
Detail-oriented;
Superior organization skills;
Ability to work on multiple project simultaneously; and
Excellent analytical skills.

Qualifications
Certified pharmacy technician preferred;
Bachelor's Degree or equivalent experience;
2+ years of RxCLAIM (by SXC) experience (desired); and/or
2+ years PBM or retail pharmacy experience (required).

Desired Profile Please refer to the Job description above
Experience 1 - 3 Years
Industry TypeBPO / Call Centre / ITES
RoleAssociate/Senior Associate -(NonTechnical)
Functional Area ITES, BPO, KPO, LPO, Customer Service, Operations
Education UG - Any Graduate - Any Specialization, Any Specialization, Any Specialization, Any Specialization, Graduation Not Required
PG - Any Postgraduate - Any Specialization, Any Specialization, Any Specialization, Any Specialization, Post Graduation Not Required
DOCTORATE - Any Doctorate - Any Specialization, Any Specialization, Any Specialization, Any Specialization, Doctorate Not Required
Location Hyderabad / Secunderabad
KeywordsMs Office, Clinical Pharmacy, Claims Processing, Technician Activities, Organization Skills, Network Management, Advanced Excel, Client Management, Analytical Skills
Contact Manoj
US Technology International Pvt Ltd
Websitehttp://www.ust-global.com
 
Job Posted 07 Jul