Job Description
Job Description
Nurse Consultant - NCLEX RN
Industry: BPO (Healthcare)
Location: Infopark, Kakkanad, Kochi Qualification: BSC Nursing/ Post BSC
Requirement: Valid NCLEX-RN Certification(Manadatory)
Shift: 6PM to 3AM (Monday-Friday)
Salary: Upto Rs . 18 LPA
Should have excellent fluency in English.
Responsibilities
- Review and analyze medical claims, provider appeals, and dispute cases within the US healthcare insurance process.
- Evaluate clinical documentation, medical records, and supporting evidence to determine medical necessity and appropriateness of care.
- Assess healthcare claims using clinical guidelines, payer policies, and utilization management criteria.