Clinical Investigator UnitedHealth Group Hyderabad, Andhra Pradesh

Clinical Investigator UnitedHealth Group Hyderabad, Andhra Pradesh

Job 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 Required Qualifications

Any Medical degree – BHMS/BAMS/BUMS/BPT/MPT/B.Sc Nursing

Knowledge of US Healthcare and coding desirable

Attention to detail & Quality focused

Good Analytical & comprehension skills

Experience range – 0 to 4 years (Fresher’s can apply)

https://careers.unitedhealthgroup.com/