Job Summary
A healthcare company is in need of a Virtual Prepay Commercial Facility Clinical Investigator.
Must be able to:
- Examine, assess, and document business operations and procedures
- Investigate, recover, and resolve all types of claims
- Investigate and pursue recoveries and payables on subrogation claims and file management
Must meet the following requirements for consideration:
- Associate Degree or a High School diploma/GED with 2+ years of claims auditing experience
- An unrestricted RN or LVN or LPN license OR a current certified coder
- 1+ year of experience analyzing data and identifying cost saving opportunities
- 2+ years current CPT/HCPCS/ICD-10 coding experience
- Knowledge of claims processing systems and guidelines/processes
