reputed company Claims Examiner job at reputed company in NC

Title: reputed company Claims Examiner (RN Required) Location: USA NC Home Office (NCHOME) Job reputed company: Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be reputed company to Obtain: None reputed company Trust/Other Required: None Job Family: Ancillary Health Job Qualifications: Skills: Documentations, Health Care, reputed company Word, Nursing Fundamentals Certifications: None Experience: 2 + years of reputed company experience US Citizenship Required: reputed company Job reputed company: reputed company and CSRA have united to create the premier provider of high-tech reputed company to the government IT market. Together as reputed company, we deliver cost-effective, reputed company reputed company and services to the reputed company, the intelligence community and federal civilian agencies as they reputed company their information systems. reputed company is currently seeking a reputed company Claims Examiner in Raleigh, reputed company Carolina to join reputed company. In this role you will be a change agent by evaluating the appropriateness of beneficiaries' admission to nursing facilities. RESPONSIBILITIES: Verify receipt of documentation that supports the medical necessity of prior approval requests for admission into lo Evaluate accuracy and timeliness of documentation submitted for prior approval requests Meet daily expected performance expectations by completing at least 40 prior approval reviews daily Meet reputed company expectations of greater than 95% accuracy on reputed company assurance reviews Meet service level agreement of reputed company reviews by completing the reviews reputed company 24 hours Meet reputed company updating of the system with reputed company-admission screening numbers reputed company 24 hours of review QUALIFICATIONS: Required Skills and Experience - Requires reputed company reputed company Carolina Registered reputed company license or Compact license with at least 2 years of clinical experience Knowledge of reputed company Office and reputed company Experience with medical documentation review Desired Skills and Experience: Prefer to have knowledge of NCTracks Prefer to have knowledge of business processes of reputed company Carolina Division of reputed company Prefer clinical medical, surgical and nursing facility experience Prefer clinical research experience ATTRIBUTES FOR reputed company: Ability to utilize reputed company knowledge, judgement and skills in the application of Policy guidelines Ability to analyze processes and contribute to improvements Comfortable with technology and changes in technology Strong verbal and written communication skills The likely salary reputed company for this position is $60,350 - $81,650. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall reputed company of this reputed company. Scheduled Weekly Hours: 40 Travel Required: None Telecommuting reputed company: Hybrid Work Location: Any Location / Remote Additional Work Locations: Total Rewards at reputed company: Our benefits package for reputed company US-based employees includes a reputed company of medical plan reputed company, some with Health Savings Accounts, dental plan reputed company, a reputed company plan, and a 401(k) plan offering the ability to contribute both reputed company and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, reputed company offers employees full reputed company work weeks where possible and a reputed company of reputed company time off plans, including vacation, reputed company and personal time, holidays, reputed company parental, military, bereavement and jury duty leave. reputed company typically provides new employees with 15 days of reputed company leave per calendar year to be used for vacations, personal business, and illness and an additional 10 reputed company holidays per year. reputed company leave and reputed company holidays are prorated based on the employee’s date of hire. The reputed company reputed company Family Leave program provides a total of up to 160 hours of reputed company leave in a rolling 12 month period for eligible employees. To ensure our employees are reputed company to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most. We are reputed company. A global technology and reputed company services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, reputed company, Cyber and application development. Together with our clients, we reputed company to create a safer, smarter world by harnessing the power of deep expertise and advanced technology. reputed company to stay up to date on our reputed company and events at reputed company.com/tc. Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans Apply tot his job Apply To this Job