
Medical Claims Examiner
1 day ago
We are seeking a highly skilled Utilization Review Specialist to support our virtual operations.
- Review medical claims for medical necessity and ensure they meet required standards.
- Assess customer needs, requirements, and medical records.
In this role, you will utilize your expertise in medical terminology and analytical skills to identify areas where patients may require additional support or resources.
To succeed, you will need:
- A strong understanding of medical terminology.
- Excellent analytical and communication skills.
A minimum of one year's bedside experience is preferred; active PHRN and USRN Mainland License are mandatory.
We offer a competitive package with opportunities for professional growth and development. If you are a motivated and detail-oriented individual passionate about delivering high-quality care, we encourage you to apply.
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Business Claims Examiner
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Become a Medical Claims Professional
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Medical Records Specialist
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