
Clinical Review Specialist
6 days ago
Job Title: Clinical Review Specialist
We are seeking a highly skilled and detail-oriented Clinical Review Specialist to join our team.
The ideal candidate will have experience in medical claims review, be able to assess and interpret customer needs, and possess excellent communication skills.
Required Skills and Qualifications:- Active PHRN and USRN Mainland License
- 1 year Bedside experience, preferably with UR/UM experience but not required
Work from home
Competitive compensation package
Job Description:Assess and interpret customer needs, requirements, and medical records.
Review medical claims for medical necessity.
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