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Sagility India Private limited

Team Lead-Clinical&Claims Review

4-9 Years

This job is no longer accepting applications

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  • Posted 4 months ago

Job Description

Greetings from Sagility.

Job Description:

  • Able to Interpret all types of Medical records
  • Interpret medical necessity in contrast to clinical policies / guidelines
  • Interpret medical data and provide accurate clinical review
  • Identify Cost Savings within Medical Claims
  • Itemized bill review (IBR) for Institutional claims
  • Team handling experience

Qualification & Skills:

  • BDSMBBSBPT
  • International Healthcare exposure
  • Willing to Work from Office
  • 5 days working in a week
  • Immediate Joiners are Required.

Interested candidates can share your resume to [Confidential Information]

Role:Customer Success,Service & Operations - Other

Industry Type:BPM / BPO

Department:Customer Success,Service & Operations

Employment Type:Full Time, Permanent

Role Category:Customer Success, Service & Operations - Other

Education

UG:BDS in Dentistry, MBBS in Any Specialization

More Info

Job Type:
Industry:
Employment Type:
Open to candidates from:
Indian

About Company

About Sagility,

Sagility is a tech-enabled BPM services provider, a thought partner providing a broad spectrum of transformational services, to enable our clients provide efficient and hi-quality care across the healthcare system. Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. We optimize the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics.Leading industry analyst firms have consistently cited our service excellence, breadth of offerings, and ability to execute. The most recent being recognized as a leader for Healthcare Payer Operations in 2022 as a part The Healthcare Payer Operations PEAK Matrix Assessment report by Everest Group. We have 28,000+ employees in 15 cities across 5 countries India, Philippines, USA, Jamaica, and Colombia. About Sagility Technology We are the technology wing of Sagility, providing a complete solution that encompasses people, process, and technology platform improvements. Equipped with a strategic solutions mindset, our core focus is on what most benefits the client. Sagility Technology uses a holistic consulting approach to identify the root causes of healthcare payer and provider pain points, analyze the issues and create custom solution roadmap to improve efficiency, engagement, data management, and overall processes.About Sagility Care ManagementA technology-enabled care management services arm of Sagility focused on applying whole-person interventions to improve healthcare outcomes, reduce costs, and increase satisfaction.Your life with usSagility believes in Doing Right by its People. We believe in providing strong growth opportunities, multiple training programs to support your learning curve, exposure to large international clients and access to advanced technologies and solutions at your disposal - so that you can focus on making a difference through your role. We are an inclusive, open, and welcoming organization where our people are at the heart of everything that we do. We believe in giving back to the local communities in which we operate. We have strong rewards and recognition platforms, programs where your ideas can turn into reality. We respect the need for a composite life and to encourage the same, we have employee friendly leave policies for the much needed down time and a lot more. Our medical insurance coverage is one of the best in class, covering you and your family when you need it. Last but not the least, we have lots of fun everyday through our wellbeing programs, talent shows, engagement activities - its an endless list!

Company Info

WebsiteAddress:1st Floor, No.23 & 24, AMR Tech Park, Block 2A, Hosur Main Road, Hongasandra, Bengaluru, Bengaluru Urban, BANGALORE, Karnataka, India,

Company Info
Address:
1st Floor, No.23 24, AMR Tech Park, Block 2A Ben galuru Urban , BANGALORE, Karnataka, India

Job ID: 107089307