Job Summary
A global healthcare company is searching for a person to fill their position for a Telecommute Clinical Claim Review Registered Nurse.
Must be able to:
- Review clinical records submitted from provider
- Identify information missing from clinical documentation
- Request additional clinical documentation as appropriate
Position Requirements Include:
- Undergraduate degree or equivalent experience
- Current unrestricted RN licensure
- 3+ years of hands-on clinical experience
- 1+ years of experience working with Medicaid/Medicare compliance and quality
- Knowledge and experience with Medical Claim Review (MCR)
- Knowledge and experience utilizing MS office at a proficient level
