RN Medical Reviewer II
Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Tue, Aug 20, 2024
Job Summary
A company is looking for a RN Medical Reviewer II (Medicare Part A).
Key Responsibilities:
- Perform medical claim reviews for complex services, preauthorization requests, and appeals
- Determine payment based on clinical information and established criteria
- Educate staff on medical reviews, coding procedures, and coverage determinations
Required Qualifications:
- Active, unrestricted RN licensure in the US or compact multistate RN license
- Associates degree in a related field or graduate of an Accredited School of Nursing
- Two years of clinical nursing experience
- Working knowledge of word processing software
- Microsoft Office proficiency
COMPLETE JOB DESCRIPTION
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Job is Expired