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Medicare UM coordinator Health care

Gratitude Inc
88 Views
5 days ago

Medicare UM coordinator Health care

2-3 Year(s)
Manila (Mandaluyong)
Manila (Mandaluyong)

Job Description

Key Skills

Utilization Management CMS NCD/LCD and medical necessity guidelines, HIPAA and regulatory knowledge E&M coding expertise, and EMR/encoder system proficiency.

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Job Title: Medicare UM Coordinator- Healthcare 

Work Location: Greenfield (Mandaluyong)

Work Setup & Schedule: Onsite

Salary: Open Budget



 



Qualifications :

•Requires experience in utilization management, medical terminology, EMR familiarity, and strong judgment. Preferred: NCQA UM guidelines, CMS regulations, and understanding of LCD/NCD.

• At least 2-3 years relevant experience

•  Requires a US‑licensed RN



Pre-Screening Notes

Educational Attainment:

Years of Relevant Experience:

USRN / PHRN License (include validity/expiration date)

Last Drawn Salary:

Expected Salary:

Role

Admin Services/Medical Facilities

Timings

Day Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Functional Area

Medical Professional / Healthcare Practitioner / Technician

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MyGlit Jobs |  Jobs |   Medicare UM coordinator Health care in Mumbai & Delhi

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