Physician ED Claims Reviewer

Remote • Posted 5 hours ago • Updated 5 hours ago
Contract W2
Contract Corp To Corp
2 Years
No Travel Required
Remote
Depends on Experience
Fitment

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Job Details

Skills

  • Physician ED Claims Reviewer

Summary

Hi,

Our client is looking for an Physician ED Claims Reviewer Role for Remote below is the detailed requirement.

Job Title: Physician ED Claims Reviewer
Location: Remote

Job Description:

  • Bachelor’s degree in related field.
  • 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
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10120137
  • Position Id: 70599-10367-1785856442
  • Posted 5 hours ago
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