Remote Clerical Redetermination Examiner

Job is Expired
Location: North Dakota
Compensation: Salary
Staff Reviewed: Fri, Oct 01, 2021

Job Summary

A healthcare solution is searching for a person to fill their position for a Remote Clerical Redetermination Examiner.

Candidates will be responsible for the following:

  • Conducting redetermination reviews per Medicare rules and regulations
  • Researching and identifying claims processing deficiencies and initiates corrective response
  • Maintaining knowledge of CMS and Joint Operating Agreement (JOA) requirements

Qualifications for this position include:

  • High School diploma or GED
  • 6 months' work related experience
  • 1-year redetermination processing experience
  • Knowledge of medical terminology, CPT, HCPCS and ICD coding

COMPLETE JOB DESCRIPTION

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