Physician ED Claims (Remote)

Job Title:  Physician ED Claims Reviewer

Location : 100% Remote Role USA

Duration : 6+ Months Contract or Fulltime

Job Description:

Berribot Test Required After Submitting the profile

Note: Check with candidates if they are comfortable for Beribot interview

Required skills:

·         Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review of claims and UM authorization requests for clinical necessity.

·         Minimum of recent (last 2-3 years) 3-5 clinical experience in emergency dept medicine, experience in internal medicine will be considered. Experience in  managed care, clinical UM case reviews. Knowledge of claims and medical coding (CPT/HCPCS codes). Proficient working in various systems and applications.

·         Desired skills: Experience/knowledge in utilization management is a plus. Ability to work independently in a fast paced environment.

·         Strong Agile experience: user story development, requirements gathering, and portfolio management