Remote Medicare Home Health Medical Review Specialist III

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Thu, Mar 09, 2023

Job Summary

An information technology company is seeking a Remote Medicare Home Health Medical Review Specialist III.

Core Responsibilities of this position include:

  • Performing comprehensive medical record and claims review
  • Performing first and second level of Medical Review
  • Conducting in-depth claims analysis

Must meet the following requirements for consideration:

  • Registered Nurse obtained by either a Bachelor's degree – OR - Associate's degree – OR - Diploma in Nursing
  • At least four (4) years related experience
  • At least three (3) years clinical experience as a Registered Nurse
  • Must have no adverse actions pending or taken against him/her
  • Current licensure as a Registered Nurse in one or more of the 50 states or DC
  • Must have and maintain a valid state driver’s license for the state of residence

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