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Virtual Clinical Review Specialist

Job is Expired
Location: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming
Compensation: To Be Discussed
Staff Reviewed: Thu, Nov 08, 2018
Job Category: Healthcare
Weekly Hours: Full Time
Employer Type: Employer
Career Level: Experienced
Education Level: Some College

Job Summary

A healthcare company is filling a position for a Virtual Clinical Review Specialist.

Individual must be able to fulfill the following responsibilities:

  • Conduct clinical reviews of medical records
  • Process and/or review claims in a timely manner
  • Document clinical review findings within case tracking system

Required Skills:

  • RN required, with related clinical review experience
  • Minimum of 5 years clinical experience
  • Knowledge of medical terminology, CPT-4, and HCPCS coding
  • Working knowledge of coordination of benefits and medical claims processing
  • Strong problem-solving skills
  • Excellent organizational, interpersonal and communication skills

COMPLETE JOB DESCRIPTION

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