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