
Clinical Review Expert
hace 24 horas
About the Position:
This is an exciting opportunity to join our team as a Clinical Reviewer and contribute to the accuracy and integrity of medical claims. As a key member of our team, you will be responsible for reviewing and investigating claims, identifying potential issues, and working with providers to resolve any discrepancies.
Your Key Responsibilities:
- Clinical Review: You will review medical claims to determine their validity and accuracy, using your knowledge of clinical guidelines to make informed decisions.
- Claims Investigations: You will investigate any issues with claims, working closely with providers and other stakeholders to ensure that claims are processed correctly.
- Compliance: You will ensure that all claims are compliant with relevant regulations and guidelines, including state and federal laws.
What We Offer:
In return for your expertise and dedication, we offer a competitive salary and benefits package, as well as opportunities for career growth and professional development.
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