Care Review Processor II

Full Time
Seattle, WA
Posted
Job description

REMOTE POSITION MUST RESIDE IN WASHINGTON TO BE CONSIDERED!

Works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for members that require hospitalization and/or utilization review for other healthcare services. Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate Health Care Services staff to ensure the delivery of high quality, cost-effective healthcare services according to State and Federal requirements to achieve optimal outcomes for members.

Requirements

  • High School Diploma/GED
  • 2-4 years of experience in a Utilization Review Department in a Managed Care Environment.
  • 1 year of previous Hospital or Healthcare clerical, audit or billing experience.
  • Proficient in Microsoft offices such as Word, Outlook and Excel.

For immediate consideration email Keyera at kwest@anmchorstaffing.com.

Job Type: Full-time

Pay: $21.00 per hour

Schedule:

  • 8 hour shift
  • Monday to Friday

Education:

  • High school or equivalent (Preferred)

Experience:

  • Medical billing: 1 year (Required)
  • Utilization Review Department in a Managed Care: 2 years (Required)
  • Medical terminology: 1 year (Preferred)

Work Location: Remote

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