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Care Review Processor I

Location : Remote
Job Type : Contract
Reference Code : 12886
Hours : Full Time
Required Years of Experience : 0-2
Required Education : HS Diploma/GED
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Healthcare - Medical Records

Job Description :

We have an immediate opening (10/26 start) for a part-time Remote Care Review Processor with current or recent experience in a Customer Service Call Center and/or Medical Insurance background to join our team ANYWHERE IN THE US! **PLEASE NOTE: This is a completely remote, 6-month temp-to-hire contract position.




The Care Review Processor Works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for members that require hospitalization and/or utilization review for healthcare services. Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Verify member eligibility and benefits, determine provider contracting status and appropriateness. Determine diagnosis and treatment requests, assign billing codes (ICD-9/ICD-10 and/or CPT/HCPC codes), and determine COB status to ensure delivery of high quality, cost-effective healthcare services according to State and Federal requirements.

Salary:
Up to $17/hr (based on experience)

Hours/Shifts:
20 hrs/week. *Shifts may vary but will always be M-F 8AM-5PM

Required Experience:
- Current or recent experience in a Customer Service Call Center and/or Medical Insurance background
- Proficient computer skills
- Proficiency with Microsoft Office applications
- Typing/data entry minimum of 40 WPM

Required Education:

- HS Diploma/GED

BM # 12886


Required Qualifications :
Required Experience:
- Current or recent experience in a Customer Service Call Center and/or Medical Insurance background
- Proficient computer skills 
- Proficiency with Microsoft Office applications
- Typing/data entry minimum of 40 WPM

Required Education:

HS Diploma/GED
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