
Healthcare Utilization Specialist
1 day ago
Job Title: Healthcare Utilization Specialist
The Role:
As a Healthcare Utilization Specialist, you will be responsible for assessing and interpreting customer needs, requirements, and medical records.
Responsibilities:
- Review medical claims for medical necessity
- Assess and interpret customer needs, requirements, and medical records
Qualifications:
- Active PHRN and USRN Mainland License
- At least 1 year of bedside experience, preferably with UR/UM experience but not required
Benefits:
- Work from home
What We Offer:
- Competitive compensation package
- Opportunity to work with a dynamic team
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