
Medical Claim Review Specialist
18 hours ago
Job Summary:
We are seeking a skilled Medical Claim Review Specialist to join our team. As a key member of our operations, you will be responsible for assessing and interpreting customer needs, requirements, and medical records.
Main Responsibilities:
- Review medical claims for medical necessity
- Assess and interpret customer needs, requirements, and medical records
- Collaborate with cross-functional teams to ensure seamless delivery of services
Requirements:
- Active PHRN and USRN Mainland License
- 1 year bedside experience, preferably with UR/UM experience but not required
Benefits:
- Competitive salary package
- Opportunities for professional growth and development
About the Role:
- This is an exciting opportunity to work in a dynamic environment where you will have the chance to make a real difference in people's lives.
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