Independent Review Specialist

Job Summary

A company is looking for an Independent Review Specialist.

Key Responsibilities:

• Review Independent Review requests for organizational conflicts of interest
• Maintain security and confidentiality of individually identifiable health information
• Ensure compliance with client, state, federal, and URAC requirements

Qualifications:

• High School Diploma or GED required
• Preferably at least 1 year of experience in a healthcare or investigative setting
• Customer service experience with excellent phone etiquette
• Understanding or familiarity with HIPAA rules and regulations
• Proficiency in Microsoft Suite (Word and Excel) and Adobe Acrobat