Telecommute Senior Medical Review Specialist

Job Summary

An information technology company is filling a position for a Telecommute Senior Medical Review Specialist.

Core Responsibilities of this position include:

• Performing comprehensive medical record and claims review
• Utilizing electronic health information imaging and inputs
• Utilizing internet and intranet sources for policy verification

Qualifications Include:

• Ability to work remotely and travel as required
• Bachelor's and 10 years claims knowledge either from billing, reviewing or processing OR
• Associate's and 12 years claims knowledge either from billing, reviewing, or processing OR
• Diploma in Nursing and 13 years claims knowledge either from billing, reviewing, or processing
• Have and maintain a valid state driver’s license for the state of residence
• Other skills, knowledge and experience as outlined by company