Claims Utilization Management Reviewer
Company: VirtualVocations
Location: Saint Paul
Posted on: October 18, 2024
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Job Description:
A company is looking for a Claims Utilization Management
Reviewer to support retrospective claims review processes.
Key Responsibilities
Review medical claims and gather necessary records for nurse
review
Engage with claims and clinical review functions to identify trends
and ensure compliance
Request medical records in a timely manner and maintain accurate
data in computer systems
Required Qualifications
High School Diploma or GED
1+ years of experience in a medical office or claims department
Knowledge of medical terminology
Proficiency with computers and Microsoft Office programs
Ability to work flexible hours between 6:00 AM - 2:30 PM PST,
including occasional overtime
Keywords: VirtualVocations, Saint Cloud , Claims Utilization Management Reviewer, Executive , Saint Paul, Minnesota
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