A pharmaceutical company is in need of a Remote Medical Reviewer. Core Responsibilities of this position include: Serving as the primary medical reviewer for the company's review committee and medical review team.
Position Requirements Include: Virginia residency required. Requires current active unrestricted RN license to practice in the state of Virginia. 3 years acute care clinical experience. Requires strong oral, written and interpersonal communication skills.
Demonstrate a good working knowledge of medical terminology, human anatomy, and coding. Must possess knowledge of third party reimbursement regulations and billing practices. Possess moderate knowledge of level 1 and 2 modifiers.
A nonprofit is seeking a Telecommuting Medical Case Manager. Individual must be able to fulfill the following responsibilities: Communicate effectively while performing customer telephonic interviewing and communication with external contacts.
A medical services provider is seeking a Telecommute Pharmacy Call Center Technician in Richmond. Candidates will be responsible for the following: Evaluating, and communicating decisions for prior authorization pharmacy requests.
A medical device company has a current position open for a Telecommute Enterprise Account Manager. Must be able to: Establish and build senior level relationships. Understand and assess customers' business objectives. Identify innovative solutions to meet account needs. Required Skills:
Completing initial medical records reviews of patient records within 24-48 hours of admission. Required Skills: Travel may be required to meet the needs of the facilities. Active state Registered Nurse license. Graduate from a Nursing program, BSN, or graduate.
Review medical record documentation to resolve edits and abstracting errors. Key and verify mocks utilizing eTran and eRequest software programs. Prioritize high dollar and other accounts in HPF coding workflow. Qualifications Include: High School graduate or GED equivalent.
Five years of previous claims handling experience or equivalent experience in the medical or legal field required. Valid driver's license and good driving record required. Appropriate license as required by state. High school diploma, or equivalent, required.
Minimum 2 years recent experience in medical-oriented scheduling environment. Bilingual in any of the following languages: Spanish. Adept at handling large call volumes, preferably with use of VOIP call systems. Experience with basic insurance guidelines.