Job Summary
A company that provides business process services to government health and human services agencies is searching for a person to fill their position for a Remote Registered Nurse in Pittsford.
Core Responsibilities of this position include:
- Performing medical necessity reviews for Medicare QIC Durable Medical Equipment cases assigned
- Resolving all other technical issues within Medicare reconsideration assigned
- Reviewing cases to determine and summarize facts of each case assigned
Required Skills:
- DME Adjudication experience
- RN degree with active license required and able to meet credentialing requirements
- Knowledge of health regulations, guidelines and coverage issues
- Ability to perform comfortably in a fast-paced, deadline-oriented work environment
- Ability to work independently and support team members
- Ability to independently manage workflow
