Medical Review Specialist

Utilization Review Specialist Role OverviewThis role is centered on assessing and interpreting customer needs, requirements, and medical records to ensure accurate and efficient review of medical claims.Key Responsibilities:Assess and interpret customer needs, requirements, and medical recordsReview medical claims for medical necessityAs a Utilization Review...

Job Opportunity for a Medical Coding SpecialistThe Medical Coding Specialist plays a vital role in the healthcare sector, responsible for accurately assigning medical codes to patient records. This entails reviewing and analyzing medical documentation to ensure adherence to coding guidelines, payer requirements, and government regulations.Key...

Medical Reviewer">The role involves contributing to the activities of a dynamic team at a pharmaceutical company. The ideal candidate has a strong background in pharmaceuticals, with a deep understanding of GVP, GCP, FDA and regulatory requirements related to drug safety.Key Responsibilities:Data entry of vigilance casesQuality control of vigilance cases and...

Job Title: Medical Claims SpecialistThe Medical Claims Specialist plays a crucial role in ensuring the accurate and timely processing of medical claims. This position requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.Key Responsibilities:Verify patient eligibility and benefits to ensure...

Utilization Review Professional WantedA dedicated and skilled Utilization Review professional is required to assess and interpret customer needs, requirements, and medical records.About the Role:The ideal candidate will review medical claims for medical necessity and provide recommendations based on their expertise.Key Responsibilities Include:Assessing and...

Job SummaryWe are seeking a skilled Medical Claims Specialist to join our team. In this role, you will be responsible for ensuring accurate and timely submission of medical claims to insurance providers.About the RoleThe ideal candidate will have excellent attention to detail, strong analytical skills, and the ability to work efficiently in a fast-paced...

We are seeking a skilled Medical Claims Specialist to support our revenue cycle operations. This is an exciting opportunity for someone with experience in medical billing, revenue cycle management, or claims follow-up who thrives in a fast-paced, process-driven environment.Job DescriptionThis role involves working directly in our billing system, managing...

Job Title: Medical File Reviewer/PHRNWe are seeking a highly skilled professional to review medical files and provide expert opinions.Key Responsibilities:Prepare case files and Disability Benefits Questionnaires (DBQs) assigned in the client portal.Review and bookmark medical records, creating a synopsis to answer medical opinion questions based on the...

Job Title: Clinical Review SpecialistAbout the JobWe are seeking a highly skilled Clinical Review Specialist to join our team.The successful candidate will be responsible for assessing and interpreting customer needs, requirements and medical records.Key Responsibilities:Reviews medical claims for medical necessityAssesses and interprets customer needs,...

Senior Medical Coding SpecialistWe are seeking an experienced and detail-oriented Senior Medical Coder to work in a fast-paced medical office setting. The ideal candidate will have extensive experience in coding for primary care services and a thorough understanding of medical coding guidelines and regulations.Key Responsibilities:Accurately assign...