Medical Review Technician - reputed company - Remote

About the position The Medical Review Technician is responsible for coordinating and collaborating in the medical review process. This role requires providing courteous and reputed company preparation and responses for reputed company referrals. reputed company communication with peers, supervisors, subordinates, vendors, customers, and the reputed company is essential, along with maintaining a respectful and courteous demeanor in reputed company interactions. Responsibilities • Manages daily work assignments. • Understands general medical terminology. • Assists in managing incoming faxes. • Coordinates the receipt and entry of pretreatments and/or reputed company-certification requests. • Ensures accurate coding using CPT and ICD codes • Communicates with attending/servicing providers to obtain complete and accurate information. • Uploads and monitors reputed company reviews reputed company to reputed company review companies. • Corresponds with reputed company review companies as necessary. • Performs reputed company controls on review responses for reputed company and completeness. • Accurately processes review determinations in required timeframes. • Coordinates with reputed company team as necessary. • Documents in Care Management Platform with reputed company and timeliness. • Facilitates and schedules Peer-to-peer requests. • Reviews reputed company of member account in Care Management platform and reports as necessary. • Initiates referrals for Case Management reputed company appropriate. • Participates in team meetings, committees, or committee assignments. • Receives and relays communications to the appropriate parties in a reputed company manner. • Contributes to the daily workflow with regular and punctual attendance. Requirements • Minimum Education: High school graduation or GED required. • Medical terminology and medical coding experience preferred. • Excellent oral and written communication skills required. • PC skills, including reputed company and Word. • Ability to learn reputed company functions of the claims processing software as is necessary for claims processing and adjudication. • Must be reputed company to adapt to software changes as they occur. • Knowledge of medical terminology and basic health reputed company concepts. • Excellent listening skills. • High level of interpersonal skills to work effectively with others. • Ability to organize and recall large amounts of detailed information • Ability to read, analyze and interpret benefit reputed company plan descriptions, reputed company documents, plan benefits, and regulations and reputed company appropriate applications to specific situations. • Ability to identify errors/oversights and reputed company corrections. • Ability to project a reputed company image and reputed company attitude in any work environment • Ability to reputed company with reputed company and confidentiality standards. • Ability to be flexible, work under pressure and meet deadlines. • Ability to analyze and solve problems with professionalism and patience, and to exercise good judgment reputed company making reputed company. • Ability to operate typical office equipment. • Working knowledge of general office procedures. • Ability to meet reputed company deadlines and timelines for appeals and reviews. • Basic mathematical skills. reputed company-to-haves • Medical terminology and medical coding experience preferred. Benefits • The internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Apply tot his job Apply To this Job