Medical Claims Reviewer RN - Behavioral Health

Job is Expired

Location: Remote

Compensation: Hourly

Staff Reviewed: Tue, Apr 16, 2024

Job Category: Healthcare

Weekly Hours: Full Time

Employment Status: Permanent, Independent Contractor

Career Level: Experienced

Job Summary

A company is looking for a Medical Claims Reviewer RN in Behavioral Health.

Key Responsibilities:

Conduct clinical claims reviews on behavioral health outpatient services
Review claims for validity and accuracy using specific guidelines and criteria
Utilize AHCCCS specific claims programs and Microsoft/Excel for analysis

Required Qualifications:

Active Registered Nurse License, Multi-State/Compact (AZ included)
2+ years of clinical behavioral health experience
2+ years of chart review experience from a MCO insurance plan
Knowledge of basic office equipment and EMR systems
Computer skills including Microsoft Office and internet proficiency

COMPLETE JOB DESCRIPTION

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Job is Expired

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