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Job Opening details:-
Company Name :- Evolent Health
Position Name :-
Company Location :- Pune, Maharashtra
Job Category : General jobs
Full Job Description :-
It’s Time For A Change…
Your Future Evolves Here
Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.
Are we growing? Absolutely – about 40% in year-over-year revenue growth in 2018. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019, and one of the “50 Great Places to Work” in 2017 by Washingtonian. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.
What You’ll Be Doing:
What You’ll Be Doing:
This position is responsible for providing, (Fax Support) data entry, and routing of cases to the appropriate Utilization Management staff member.
Processing medical treatment requests in accordance with departmental policies, regulatory requirements, and client contractual agreements.
Enters data into authorization system
Performance of review of service request for completeness of information
Acquisition of structured clinical data; and
Activities that do not require evaluation or interpretation of clinical information
Document in the clinical documentation system information to pass on to nurse reviewer
Maintains and adheres to a current knowledge base with regards to client, state, and federal rules, regulations, policies, and procedures relating to precertification and concurrent review.
Completes, at minimum, annually, all required compliance and client training.
Assists with developing and updating workflows and tools as needed or requested.
Responds in an intelligent and comprehensive manner and displays a clear understanding and accurate reflection of Evolent Health goals, objectives, policies, procedures, and priorities.
Addresses the majority of inquiries independently without unnecessary or recurring contact or excessive dependence on supervisor.
Discriminates between routine and significantly sensitive matters or those issues for which direct response is inappropriate; promptly apprises immediate supervisor or assigned designee and or refers the issue to the appropriate individual.
Addresses request promptly and courteously, honors commitments and displays persistence obtaining necessary information to address issues and problems.
Heavy use of monitors/computers
Sitting for extended periods of time
Perform other duties and projects as assigned.
Minimum of one year of experience in data entry and general office duties required
Strong attention to detail and organization
Knowledge of CPT and ICD-10 codes
Knowledge of medical terminology
1-3 years of experience in a production environment or comparable experience
Strong interpersonal, oral and written communication skills.
Lives the values: Integrity, Community, Collaboration and Stewardship, as defined in the performance appraisal.
Excellent written and verbal communication skills.
Strong organizational skills.
Ability to adapt to fluctuating situations and perform work of a detailed nature, avoiding errors.
Proficient experience using Outlook, Word, Excel and PowerPoint in a Windows operating system.
Experience in hospital, physician office, or other medical setting preferred
Medical technician experience preferred
Associate’s or clinical degree preferred.
Strong computer skills(Microsoft Excel and word specially)
Ability to multitask in multiple systems simultaneously
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