Claims Reviewer

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Tue, Nov 19, 2024
This job expires in: 16 days

Job Summary

A company is looking for a Claims Reviewer to conduct medical claims reviews and ensure compliance with processing guidelines.

Key Responsibilities
  • Conducts medical claims review for medical necessity and appropriateness of care
  • Validates medical determinations and prepares cases for review as needed
  • Identifies and reports potential quality or fraud issues to management

Required Qualifications
  • High School Diploma or GED
  • 2+ years of claims review experience
  • Knowledge of all types of medical claims review

COMPLETE JOB DESCRIPTION

The job description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...

BECOME A PREMIUM MEMBER TO
UNLOCK FULL JOB DETAILS & APPLY

  • ACCESS TO FULL JOB DETAILS AND APPLICATION INFORMATION
  • HUMAN-SCREENED REMOTE JOBS AND EMPLOYERS
  • COURSES, GROUP CAREER COACHING AND RESOURCE DOWNLOADS
  • DISCOUNTED CAREER SERVICES, RESUME WRITING, 1:1 COACHING AND MORE
  • EXCELLENT CUSTOMER SUPPORT FOR YOUR JOB SEARCH