Job Summary
A healthcare cost engagement tools company has a current position open for a Virtual Registered Nurse Clinical Review Specialist.
Core Responsibilities of this position include:
- Interfacing with customers by telephone or correspondence to answer questions and resolve issues
- Monitoring, tracking and reporting on all case work
- Processing and/or reviewing claims in a timely manner
Must meet the following requirements for consideration:
- Minimum of 5 years clinical experience
- Ability to use MS Office to include Excel
- RN required, with related clinical review experience
- Working knowledge of coordination of benefits and medical claims processing