Claims Utilization Management Reviewer
Company: VirtualVocations
Location: Saint Paul
Posted on: November 6, 2024
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Job Description:
A company is looking for a Claims Utilization Management
Reviewer to support retrospective claims review processes.
Key Responsibilities
Review medical claims and gather necessary records for nurse
evaluation
Engage with claims and clinical review functions to identify trends
and ensure compliance
Request medical records and manage authorizations in various
computer systems
Required Qualifications
High School Diploma or GED
At least 1 year of experience in a medical office or claims
department
Knowledge of medical terminology
Proficiency with computers and Microsoft Office programs
Ability to work flexible 8-hour shifts during normal business
hours
Keywords: VirtualVocations, Plymouth , Claims Utilization Management Reviewer, Executive , Saint Paul, Minnesota
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