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Executive at EXL Talent Acquisition Team

Noida, Uttar Pradesh, India -

Full Time

Start Date

Immediate

Expiry Date

01 Sep, 26

Salary

0.0

Posted On

03 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Review, Clinical Documentation, Data Interpretation, Regulatory Compliance, Accreditation Requirements, Clinical Resolution

Industry

Business Consulting and Services

Description

* Responsible for the review and evaluation of clinical information and documentation. * Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. * Independently coordinates the clinical resolution with internal/external clinician support as required.

Responsibilities

Responsible for reviewing and evaluating clinical information and documentation to ensure compliance with regulatory and accreditation policies. Coordinates clinical resolutions with internal and external clinician support.