Care Review Processor Duration: 4+ months contract Location: Texas USA 79902 Hours: Mon- Fri 8:00 AM to 5:00 PM Top Three Skill Sets: Customer Service, Computer Skills and medical terminology
Care Review Processor Duration: 4+ months contract Location: Texas USA 79902 Hours: Mon- Fri 8:00 AM to 5:00 PM Top Three Skill Sets: Customer Service, Computer Skills and medical terminology
Remote Care Review Processor
Houston, TX · On-site
Remote Care Review Processor Houston, Texas, United States Or refer someone About the Job Remote Care Review Processor Retuurn Solutions works with members, providers and multidisciplinary team ...
Remote Care Review Processor
Houston, TX · On-site
Remote Care Review Processor Houston, Texas, United States Or refer someone About the Job Remote Care Review Processor Retuurn Solutions works with members, providers and multidisciplinary team ...
Remote Care Review Processor Houston, Texas, United States Or refer someone About the Job Remote Care Review Processor Retuurn Solutions works with members, providers and multidisciplinary team ...
Remote Care Review Processor Houston, Texas, United States Or refer someone About the Job Remote Care Review Processor Retuurn Solutions works with members, providers and multidisciplinary team ...
Title : Care Review Processor Location : Columbus, OH Duration : 3+ Months Responsibilities : Temp for 90 days, no possibility of going permanent. M-F 8 am to 5 pm, no OT. Building case prior ...
Title : Care Review Processor Location : Columbus, OH Duration : 3+ Months Responsibilities : Temp for 90 days, no possibility of going permanent. M-F 8 am to 5 pm, no OT. Building case prior ...
Remote Care Review ProcessorHouston, Texas, United States Or refer someoneAbout the Job Remote Care Review ProcessorRetuurn Solutions works with members, providers and multidisciplinary team members ...
Remote Care Review ProcessorHouston, Texas, United States Or refer someoneAbout the Job Remote Care Review ProcessorRetuurn Solutions works with members, providers and multidisciplinary team members ...
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Care Review Processor (Must reside in Florida)
$14 - $26.42/hr
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Care Review Processor (Must reside in Florida)
$14 - $26.42/hr
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Care Review Processor (Must reside in Florida)
Long Beach, CA · On-site
$14 - $26.42/hr
Essential Job Duties Provides telephone, clerical and data entry support for the care review team ... Previous experience as a Correspondence Processor at Molina. Strong attention to detail, and ...
Care Review Processor (Must reside in Florida)
Long Beach, CA · On-site
$14 - $26.42/hr
Essential Job Duties Provides telephone, clerical and data entry support for the care review team ... Previous experience as a Correspondence Processor at Molina. Strong attention to detail, and ...
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Foreclosure Title Review Processor
Winter Park, FL · On-site
$18 - $25/hr
Foreclosure Title Review Processor We are a professional staffing firm, working with organizations ... Employees have access to healthcare benefits including medical, dental and vision as well as a ...
Foreclosure Title Review Processor
Winter Park, FL · On-site
$18 - $25/hr
Foreclosure Title Review Processor We are a professional staffing firm, working with organizations ... Employees have access to healthcare benefits including medical, dental and vision as well as a ...
Care Review Clinician
Cherry Valley, IL · On-site
$40 - $42/hr
Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Care Review Clinician
Cherry Valley, IL · On-site
$40 - $42/hr
Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...
UM Care Review Clinician
Chicago, IL · Remote
$40 - $42/hr
Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Quick apply
UM Care Review Clinician
Chicago, IL · Remote
$40 - $42/hr
Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Care Review Clinician
Springfield, IL · On-site
$40 - $42/hr
Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Care Review Clinician
Springfield, IL · On-site
$40 - $42/hr
Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
Care Review Clinician
Cherry Valley, IL · Remote
$40 - $42/hr
Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Quick apply
Care Review Clinician
Cherry Valley, IL · Remote
$40 - $42/hr
Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Care Review Clinician
Troy, MI · On-site
Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... Follow members from admission process all the way through to discharge, find discharge plan and ...
Care Review Clinician
Troy, MI · On-site
Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... Follow members from admission process all the way through to discharge, find discharge plan and ...
Care Review Clinician
Spokane, WA · On-site
Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... process through claim review, medical record review and research. To provide expert knowledge in ...
Care Review Clinician
Spokane, WA · On-site
Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... process through claim review, medical record review and research. To provide expert knowledge in ...
... process through claim review, medical record review and research. * To provide expert knowledge in ... Identifies and reports quality of care issues to the Quality Management Department. * Reports ...
... process through claim review, medical record review and research. * To provide expert knowledge in ... Identifies and reports quality of care issues to the Quality Management Department. * Reports ...
Care Review Clinician
Troy, MI · On-site
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Care Review Clinician
Troy, MI · On-site
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Senior Care Review Processor information
See salary details
$30.5K - $35.7K
3% of jobs
$35.7K - $40.9K
0% of jobs
$40.9K - $46K
1% of jobs
$46K - $51.2K
15% of jobs
$53.6K is the 25th percentile. Wages below this are outliers.
$51.2K - $56.4K
13% of jobs
$56.4K - $61.6K
6% of jobs
$61.6K - $66.8K
3% of jobs
The median wage is $68.4K / yr.
$66.8K - $72K
28% of jobs
$73.1K is the 75th percentile. Wages above this are outliers.
$72K - $77.1K
27% of jobs
$77.1K - $82.3K
3% of jobs
$82.3K - $87.5K
1% of jobs
$30.5K
$64.9K
$87.5K
How much do senior care review processor jobs pay per year?
What is the difference between Senior Care Review Processor vs Care Coordinator?
| Aspect | Senior Care Review Processor | Care Coordinator |
|---|---|---|
| Credentials | Typically requires healthcare or social work certifications | Often requires healthcare, social work, or case management certifications |
| Work Environment | Healthcare facilities, insurance companies, or review agencies | Hospitals, clinics, or community health organizations |
| Employer & Industry | Healthcare and insurance sectors | Healthcare providers and community services |
| Search & Comparison Intent | Evaluating review and processing roles in senior care | Understanding care coordination roles in healthcare |
The Senior Care Review Processor and Care Coordinator roles share similarities in healthcare credentials and work environments. However, the Review Processor focuses on evaluating senior care cases, while the Care Coordinator manages overall patient care plans. Both roles are vital in healthcare settings but serve different functions within the senior care process.
What cities are hiring for Senior Care Review Processor jobs?
Cities with the most Senior Care Review Processor job openings:
What are the most commonly searched types of Care Review Processor jobs?
The most popular types of Care Review Processor jobs are:
What states have the most Senior Care Review Processor jobs?
States with the most job openings for Senior Care Review Processor jobs include:
Care Review Processor
El Paso, TX
Full-time
Re-posted 25 days ago
Job description
Job Title: Care Review Processor
Duration: 4+ months contract
Location: Texas USA 79902
Hours: Mon- Fri 8:00 AM to 5:00 PM
Top Three Skill Sets: Customer Service, Computer Skills and medical terminology
Job Description:
- Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits, Determine provider contracting status and appropriateness, Determine diagnosis and treatment request Assign billing codes (ICD-9/ICD-10 and/or CPT/HCPC codes), Determine COB status, Verify inpatient hospital census-admits and discharges, Perform action required per protocol using the appropriate Database.
- Respond to requests for authorization of services submitted to CAM via phone, fax and mail according to Client's operational timeframes.
- Participates in interdepartmental integration and collaboration to enhance the continuity of care for Client members including Behavioral Health and Long Term Care.
- Contact physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director.
- Provide excellent customer service for internal and external customers.
- Meet department quality standards, including inter-rater reliability (IRR) testing and quality review audit scores.
- Notify Care Access and Monitoring Nurses and case managers of hospital admissions and changes in member status.
- Meet productivity standards.
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
EDUCATION:
- Accurate data entry at 40 WPM minimum.
- Required Education: High School Diploma/GED
- Required Experience: 1-4 years of experience in a Utilization Review Department in a Managed Care Environment.
- Previous Hospital or Healthcare clerical, audit or billing experience. Experience with Medical Terminology
All your information will be kept confidential according to EEO guidelines.
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996