Case Review Specialist

Company: VirtualVocations
Location: Saint Petersburg
Posted on: November 6, 2024

Job Description:

A company is looking for a Case Review Specialist to ensure accurate and timely case determinations through effective communication and documentation management.

Key Responsibilities

Process cases and maintain clinical documentation for timely determinations
Intake pre-authorization requests and facilitate case discussions with clinical staff
Request and manage medical records from providers as needed

Required Qualifications

Bachelor's Degree or relevant experience preferred
A minimum of 2-4 years of administrative or customer service experience required
Knowledge in pre-authorizations and health insurance client services preferred
Experience working remotely and independently
Proficiency in MS Office Suite

Keywords: VirtualVocations, Pinellas Park , Case Review Specialist, Other , Saint Petersburg, Florida

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