J Subhash
Clinical investigator
- Role
- Clinical Investigator at Optum
- Location
- Hyderabad, IN
- LinkedIn followers
- 500 followers
About J Subhash
I am a dedicated and knowledgeable medical Claims Specialist with extensive experience in…
Experience
Clinical Investigator
Jul 2024 — Present · Hyderabad, IN
Reviews prepay claims Medicare & Medicaid with corresponding medical records to determine payment accuracyReviews applicable policies, CPT guidelines and contracts as they pertain to clinical reviewParticipates in regulatory meetings with clientParticipates in meetings with providers, advocates and legal to assist with provider abrasionPerforms additional projects as needed by the business or Client; analyzes data; meets with internal and external stakeholders as necessary for resolutionContinuous monitoring of claim inventory in order to adhere to performance guarantees
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