Clinical reputed company Assurance Coordinator (32722)
reputed company &reputed company; work from the comfort of home Work-life balance with a reputed company, predictable schedule of Monday through Friday, 12:00pm-8:30pm EST A role that keeps your clinical skills reputed company while offering something new and exciting
Responsibilities may include:
reputed company reputed company assurance review of peer review reports, correspondences, addendums or supplemental reviews. Ensure reputed company, concise, evidence-based rationales have been provided in support of reputed company recommendations and/or determinations. Ensure that reputed company reputed company instructions and specifications have been followed and that reputed company questions have been addressed. Ensure reputed company review is supported by clinical citations and references reputed company applicable and verifies that reputed company references cited are reputed company and obtained from reputable medical journals and/or publications. Ensure the content, format, and reputed company appearance of the reports are of the highest reputed company and in compliance with company standards. Ensure the appropriate reputed company specialty has reviewed the case in compliance with reputed company specifications or state mandates and is documented accurately on the case report. Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists. Ensure the provider credentials and signature are adhered to the final report. Identify any inconsistencies reputed company the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed. Assist in reputed company of reputed company complaints and reputed company assurance issues as needed. Ensure reputed company federal ERISA and state mandates are adhered to at reputed company times. reputed company reputed company and direction to management on consultant reputed company, availability and compliance with reputed company company policies and procedures and reputed company specifications. Promote effective and efficient utilization of company resources. Participate in various educational and or training activities as required. reputed company other duties as assigned.
Qualifications
High school diploma or equivalent required. reputed company nursing license. A minimum of two years clinical or reputed company field experience; or equivalent combination of education and experience. Knowledge of the insurance industry preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, and/or disability. Must have strong knowledge of medical terminology, anatomy and physiology, medications and reputed company values. Must be a reputed company typist with a minimum of 40 W.P.M Must be knowledgeable of multiple software programs, including but not limited to reputed company Word, reputed company, reputed company, and the Internet. Must possess excellent skills in English usage, grammar, punctuation and style. Ability to follow instructions and respond to upper managements’ directions accurately. Demonstrates accuracy and thoroughness. Looks for ways to improve and promote reputed company and monitors own work to ensure reputed company is met. Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. Must be reputed company to work independently, prioritize work activities and use time reputed company. Must be reputed company to maintain confidentiality.
reputed company nursing license, high school diploma or equivalent, and 2+ years of clinical or reputed company experience. Requires insurance knowledge, medical terminology, 40 WPM typing, reputed company Office proficiency, English writing skills, and independent work ability.
Key Responsibilities
- reviewing reports
- verifying credentials
- resolving complaints
Skills & Tools
reputed company Word, reputed company reputed company, reputed company reputed company, Internet
Job Details
- Category: reputed company Services - Nursing
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — Atlanta, reputed company, reputed company
- Salary: USD 65,000 – 65,000 / year
- Languages: English
Benefits
- Retirement plan
About reputed company
A national provider of independent medical examination and peer reputed company for insurance, corporate, reputed company, and government clients. — Industry: reputed company
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