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Data Analyst Lexington, MA, United States About the Job As a Data Analyst in the Finance Data Analytics department, you will be responsible for maintaining, improving, and building new reporting ...

Administrative Assistant

Los Angeles, CA ยท On-site

$19.50 - $26.25/hr

Administrative Assistant Los Angeles, California, United States Or refer someone Job Openings Administrative Assistant At Healthcare Admin Jobs, we work hard to create successful careers with ...

Remote Administrative Assistant

San Antonio, TX ยท On-site

$16.25 - $22/hr

Remote Administrative Assistant An Administrative Assistant works to ensure that the daily operations of the hospital department in which they serve function as smoothly as possible. They must engage ...

Remote Administrative Assistant

Austin, TX ยท On-site

$17.75 - $24/hr

Remote Administrative Assistant Austin, Texas, United States An Administrative Assistant works to ensure that the daily operations of the hospital department in which they serve function as smoothly ...

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Remote Care Review Processor

Easy Recruiter

Houston, TX โ€ข Remote

Other

This job post hasย expired today.ย Applications are no longer accepted.


Job description

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 members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. Knowledge/Skills/Abilities

  • Provides telephone, clerical, and data entry support for the Care Review team.
  • Provides computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges, and billing codes.
  • Responds to requests for authorization of services submitted via phone, fax, and mail according to Retuurn Solutions operational timeframes.
  • Contacts physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director.

Required Education Job Qualifications HS Diploma or GED Required Experience 1-3 years experience in an administrative support role in healthcare. Preferred Education Associate degree Preferred Experience 3+ years experience in an administrative support role in healthcare, Medical Assistant preferred. To all current Retuurn Solutions employees: If you are interested in applying for this position, please apply through the intranet job listing. Retuurn Solutions offers a competitive benefits and compensation package. Retuurn Solutions is an Equal Opportunity Employer (EOE) M/F/D/V.