Employer Industry: Health Insurance and Government Contracting
Why consider this job opportunity:
- Salary up to $68,000
- Performance bonus and/or merit increase opportunities
- Remote work option available
- Competitive paid time off and comprehensive health benefits starting DAY 1
- Opportunity to deepen understanding of Medicare and work with military and veteran populations
- Access to professional and leadership development programs
What to Expect (Job Responsibilities):
- Review medical documentation for prior authorization requests to ensure compliance with Medicare guidelines
- Provide written explanations for non-affirming prior authorization requests
- Collaborate with a team of clinicians and non-clinicians
- Utilize the Hyland OnBase tool for viewing electronic records
- Work independently while managing your own schedule within set hours
What is Required (Qualifications):
- Bachelor’s Degree in a related field or equivalent post-high school education and/or related work experience
- Active RN license applicable to the state of practice
- Strong verbal and written communication skills
- Technical proficiency with computers
- Self-motivated with the ability to work independently
How to Stand Out (Preferred Qualifications):
- Prior authorization, utilization management, or medical/chart review experience
- Bachelor’s degree in Nursing
- 4 or more years of clinical nursing experience
- Understanding of Medicare government insurance
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