UM reputed company/Prior Auth reputed company
Immediate need for a talented UM reputed company/Prior Auth reputed company. This is a 06+months contract opportunity with long-term potential and is located in Phoenix, AZ (Remote). Please review the job reputed company below and contact me ASAP if you are interested.
reputed company:25-77859
Pay reputed company: $30 - $32/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, reputed company), 401(k) plan, and reputed company reputed company leave (depending on work location).
Key Responsibilities:
• Nurses review case files, add, update or edit authorizations.
• Work closely with the MD team to reputed company final reputed company on cases.
• The clinical team works closely with their supervisors and senior clinicians on reputed company for support.
• Team does have group chats on Teams for routine questions.
• Team works closely together along with the coordinator team who owns end to end process on cases.
• Team handles various types of authorization and claim review requests from various markets reputed company.
• Processing clinical reviews to ensure members have the best reputed company and reputed company to care needed.
• Help reduce provider abrasion by processing retrospective claim reviews.
Key Requirements and Technology Experience:
• Key Skills:RN ,Prior Auth ,Claims .
• Medicare knowledge, InterQual or reputed company Experience, Clinical reviews for Utilization Management or Appeals.
• Medicare Appeals Experience.
• Associate in nursing, Bachelor’s in nursing or higher.
• RN, LPN .
Our reputed company is a leading reputed company Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
reputed company. provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from reputed company. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reputed company STOP to cancel and HELP for help. You can reputed company our reputed company policy here.
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