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    Care Review Processor - Las Vegas, United States - AltaStaff, LLC

    AltaStaff, LLC
    AltaStaff, LLC Las Vegas, United States

    3 weeks ago

    Default job background
    Description
    AltaStaff is a staffing agency currently looking for a Care Review Processor for one of our Managed Care partners.

    This is a full-time position that is fully remote Must work PST hours


    Pay:
    $ $20.00 hourly


    Schedule:
    Tuesday-Saturday: 10-6:30pm PST; Sunday-Thursday: 10-6:30pm PST

    Position Purpose:
    Provides support to the Case Management staff performing non clinical activities and supporting the management of the department


    Job Responsibilities:
    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 operational timeframes.


    Contact's physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director.


    Job Qualifications:
    HS Diploma or GED, Associates preferred.

    1-3 years' experience in an administrative support role in healthcare minimum

    Preferred 3+ years' experience in an administrative support role in healthcare

    Experience in Utilization Review Department and/or ICD/CPT coding preferred

    Experience with prior authorizations is preferred

    Proficiency with computers and Microsoft Office

    AltaStaff is an Equal Employment Opportunity Employer.

    We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.


    INDLP
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