Clinical Investigator UnitedHealth Group Noida Uttar Pradesh

This process works on identifying discrepancies 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, CMC guideline along with referring to client specific guidelines and member policies.

Required Qualifications:

  • Medical degree – BHMS/BAMS/BUMS/BPT/MPT/B.Sc Nursing
  • Attention to detail & quality-focused
  • Good analytical & comprehension skills

Apply online 

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