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Health Care Review Processor I

Location : REMOTE/Long Beach, CA
Job Type : Contract
Reference Code : 13252
Hours : Full Time
Required Years of Experience : 2
Required Education : HS Diploma or GED
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Healthcare - Support Services

Job Description :

Our client has immediate openings for Care Review Processors to join their team! 


 


This contract position is currently budgeted at 6 months with the potential for contract extension or a permanent hire based on performance and offers a pay rate of $17.50/hour. 




Positions will be REMOTE, however, candidates will be expected to work onsite as needed (typically one week/month) so MUST be local to Los Angeles/Orange County CA. 


 


 


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. 


 


Day to day responsibilities include but are not limited to: 



  • Working on a phone queue, answering calls and processing assigned cases.  

    • Productivity will be monitored based on SOP’s.




Schedule


Tuesday-Saturday: 10:00am-06:30pm/ 08:30-05:00pm 


Sunday- Thursday- 10:00am-06:30pm/ 08:30-05:00pm




* Selected candidates must have flexible schedules, as work shifts are updated and based on business needs.



* Candidate will need to be able to work holidays, weekends, and extended hours.






Required Qualifications :
Qualifications 



Experience
- 2 years current or recent utilization review or case/care management experience in a managed care environment
- 1+ years current or recent experience in a Customer Service Call Center and/or Medical Insurance background
- Typing/data entry minimum of 40 WPM
- Proficient computer skills
- Proficiency with Microsoft Office applications

- Experience with meeting deadlines and productivity standards



Education
- HS Diploma or GED
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