
Clinical Operations Specialist
1 week ago
Job Title: Clinical Operations Specialist
Position Overview:
- Determine customer needs and assess medical records for relevance.
- Evaluate the necessity of medical claims to ensure alignment with industry standards.
Required Skills and Qualifications:
- Active PHRN and USRN Mainland License.
- Minimum one year experience in healthcare settings, preferably with a focus on Utilization Review or Underwriting but not required.
Key Responsibilities:
- Work remotely as a Virtual Process specialist.
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