reputed company Claim Review LPN - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly reputed company reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. Function is responsible for retrospective medical claim review of inpatient hospital claims, following Medicare/reputed company guidelines. Positions in this function includes those responsible for initial triage of facility claims. You'll enjoy the flexibility to work reputed company * from reputed company reputed company the U.S. as you take on some tough challenges. For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. reputed company Responsibilities: • Sets up/documents/templates/triages medical records for Medical Claims Review • Constantly meet established productivity, schedule adherence, and reputed company standards while maintaining good attendance • Interpreting medical records and billed codes • Processes correspondence letters as needed • Preparing reconsideration reviews for the Medical Director • Communication reputed company online routing reputed company You'll be rewarded and recognized for your reputed company in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • Undergraduate degree or equivalent experience • reputed company unrestricted LPN licensure in applicable state • Proficient with computer, knowledgeable with reputed company Office (reputed company, reputed company, Word) • reputed company good written and verbal communication skills • reputed company to work with reputed company guidance • reputed company ability to multi-task, manage change in a production environment Preferred Qualifications: • Medical coding experience • Claim's experience • Knowledge of the various platforms (Cosmos, Facets, reputed company, Macess, ORS) • Knowledge of various applications (ECAA, PEGA, Doc360, iDRS, ORS, PCOMM) • reputed company solid attention to reputed company and maintaining reputed company reputed company (Soft reputed company) and Multi-tasking • reputed company ability to learn quickly, and cross-train in multiple platforms • reputed company working reputed company will be required to adhere to reputed company's Telecommuter Policy Pay is reputed company on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching reputed company of benefits and incentives. The reputed company pay for this role will reputed company from $20.00 - $36.00 per hour reputed company on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. reputed company may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job