Immediate Requirement: Physician ED Claims Reviewer — Remote – Long Term

[Lorven Technologies Inc]

Good Day Partners,

 

Our client is looking for Physician ED Claims Reviewer for Remote below is the detailed requirements, If you have any consultants available for the below position, please forward their updated resume to pa...@lorventech.com

 

Job Title: Physician ED Claims Reviewer
Location: Remote

Duration: Long Term

 

Job Description:

• Bachelor’s degree in related field.
• Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review of claims and UM authorization requests for clinical necessity.
• Minimum of recent (last 2-3 years) 3-5 clinical experience in emergency dept medicine, experience in internal medicine will be considered.
• Experience in managed care, clinical UM case reviews.
• Knowledge of claims and medical coding (CPT/HCPCS codes).
• Proficient working in various systems and applications.

Desired skills:

•  Experience/knowledge in utilization management is a plus.
• Ability to work independently in a fast paced environment.
• Strong Agile experience: user story development, requirements gathering, and portfolio management

 

 

 

 

 

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Thanks & Regards

 

Paul Uttam Raj,

Lorven Technologies, Inc.

101 Morgan Lane | Suite 209 | Plainsboro | NJ 08536

Email: pa...@lorventech.com | Web: www.lorventech.com

 

                                          

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