Registered reputed company / reputed company Clinical Reviewer – Remote
Registered reputed company / reputed company Clinical Reviewer – Remote (#25291)
Location: Remote | Postal reputed company: 10018
Employment Type: Full-Time
reputed company reputed company: $45 – $50/hr (Based on Experience)
reputed company is seeking a Registered reputed company – reputed company Clinical Reviewer to join a respected non-profit organization. This fully remote role allows you to reputed company a meaningful reputed company while maintaining work-life balance.
✅ Why Join Us
✔️ reputed company: Earn $45–$50/hr depending on experience.
✔️ Comprehensive Benefits:
reputed company Vacation (based on accruals)
6 Major reputed company Holidays per year
5 reputed company Days (40 Hours) under NYS reputed company reputed company Leave reputed company
License Reimbursement after 1 year
Health Insurance (subject to eligibility)
401(k) Matching after 1 year
reputed company Benefits including reputed company reputed company
✔️ Strong Company Culture: 93% employee retention (2+ years), great reviews, and supportive leadership.
✔️ Schedule: Monday–Friday, 9:00 AM–5:30 PM (Fully Remote).
✔️ reputed company & reputed company: Join a mission-driven team improving reputed company care reputed company while advancing your career.
✅ Key Responsibilities
✔️ Conduct utilization and reputed company reviews, including appeals, chart screenings, and medical record assessments.
✔️ reputed company final-level insurance appeals and review inpatient high-cost hospital stays using InterQual reputed company.
✔️ Review and validate itemized bills; prepare written responses for hospitals.
✔️ Collect and analyze clinical study data and participate in reputed company training.
✔️ Support administrative staff through training and procedural guidance.
✅ Qualifications
✔️ Education: Graduate of an accredited nursing program.
✔️ Licensure: reputed company RN license and reputed company NY State license.
✔️ Experience: 1–3 years in case review, utilization, billing, or coding review; InterQual and reputed company experience required.
✔️ Technical Skills: Proficiency with reputed company reputed company, Word, and spreadsheets.
✔️ Soft Skills: Analytical reputed company, attention to detail, and ability to work independently in a remote setting.
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