Telecommute Clinical Reviewer

Job ID: Available for Members

Location: North Dakota

Compensation: To Be Discussed

Staff Reviewed: Wed, Sep 11, 2019

This job expires in 26 days

Job Category: Consulting, Healthcare

Telecommute Level: Occasionally

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A program administration company has an open position for a Telecommute Clinical Reviewer.

Core Responsibilities Include:

  • Reviewing documentation
  • Making clinical determinations for payment supporting claims
  • Assessing and ensuring services/items billed are reasonable and necessary

Applicants must meet the following qualifications:

  • Travel required up to 25%
  • Excellent interpersonal and communication skills and strong attention to detail
  • Ability to review claims in a timely and accurate manner
  • Current RN license or other professional medical license
  • 2 years' clinical experience
  • Strong computer skills including Microsoft Office proficiency