Medical Claims

Company: NRI Staffing
Location: Washington
Posted on: May 24, 2020

Job Description:

5 YEAR CONTRACT Our utilization review teams conduct medical necessity reviews for medical, dental, and other healthcare services under Medicaid. This position support them by: Helping providers to submit documentation of requests for case management, utilization review, and other medical management services. Loading cases submitted via the web, fax, or phone into the care management system for clinical review. Conveying case information and other notifications to providers via inbound and outbound phone calls. May perform scripted clinical review. Refers reviews requiring further action to clinical review staff or supervisor. Performing other duties as assigned. Key abilities we seek include: Reliability, Dependability, Customer focus, Flexibility, Detail Oriented, Excellent communication (verbal and written), Team oriented, Positive Attitude Qualifications: 3 years of medical claims/medical billing, Must have strong Medicaid experience, Medical terminology, Microsoft Office (Word, Excel and Outlook), Type 45 wpm Location: Metro Center Station Hours: Monday through Friday / 8:30am to 5:00pm Type: Contract Pay Rate: $23.28 per hour Please email resume to mrobinsonnri-staffing.com . Additional Information NRI is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Meet Your Recruiter Marian Robinson Senior Account Manager

Keywords: NRI Staffing, Washington DC , Medical Claims, Healthcare , Washington, DC