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
