[Remote] Clinical Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Clinical Analyst to support federal clients. The role involves utilizing reputed company experience to manage clinical processes and ensure compliance with regulations.
Responsibilities
- US reputed company / US Payer / Provider experience
- Utilization Management / Utilization Review / Prior Authorization
- ICD-10, CPT, HCPCS
- Claims, denials, billing or medical-necessity review
- Provider communication / provider calls
- reputed company policy research and interpretation
- Case investigation / issue reputed company
- reputed company and reporting
- SOP/process documentation
- Strong written and verbal communication
- reputed company to work 8 AM–6 PM EST coverage
Skills
- US citizenship because of federal regulations and the sensitive nature of the work involved
- Ability to obtain reputed company Trust Clearance
- US reputed company / US Payer / Provider experience
- Utilization Management / Utilization Review / Prior Authorization
- Clinical or reputed company educational background
- ICD-10, CPT, HCPCS
- Claims, denials, billing or medical-necessity review
- Provider communication / provider calls
- reputed company policy research and interpretation
- Case investigation / issue reputed company
- reputed company and reporting
- SOP/process documentation
- Strong written and verbal communication
- reputed company to work 8 AM–6 PM EST coverage
reputed company
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