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Full-Time Opportunity: This is a permanent, full-time position with a competitive package and real career growth potential.
Job Description
Qualifications:
- Must have an active PRC License
- Must have 1 year hospital or clinical BPO experience
- Preferably with medical reviewer experience
- Excellent Communication skills
Responsibilities:
- Review claim details and demographics data
- Review for procedural and associated codes
- Create analyst template and authorization to be submitted to clinicians
- Complete and resolve cases upon getting clinical decision
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