Care Review Processor I
1 month ago
MUST RESIDE IN THE WEST COAST (PST) TO BE CONSIDERED FOR THIS POSITION.
- Monday through Friday
- 8:00 AM - 5:00 PM PST
Job Summary
The care review processor works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for members who require hospitalization and/or utilization review for other healthcare services. Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate Health Care Services staff to ensure the delivery of high quality, cost-effective healthcare services according to State and Federal requirements to achieve optimal outcomes for members.
Job Qualifications
- Highschool Diploma or Equivalent (GED)
- 2 years of experience in the Utilization Review Department in a managed care environment
- 1 year of experience in healthcare clerical, audit, or billing experience
- Experience with medical terminology
- Proficient in utilizing Microsoft Offices such as Word, Outlook, or Excel
- Be able to type 40 WPM
- A secure home office with the following equipment: laptop/desktop, keyboard, headset, docking station, and 2 monitors
For immediate consideration email Keyera with your resume to kwest@anchorstaffing.com
Company DescriptionSee our company profile at www.anchorstaffing.comCompany DescriptionSee our company profile at www.anchorstaffing.com-
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