Performs medical review of incoming charts to determine if additional medical information is needed.
December 30, 2022
Graduate from an accredited Nursing School.
December 31, 2022
Communicates the outcome of the appeals process with members, internal and external partners.
January 30, 2023
Review claims by requesting medical records and other documents to evaluate for clinical appropriateness, coding compliance and validity of charges.
February 01, 2023
Required to perform tasks with frequent interruptions or distractions in a moderately noisy office environment.
April 11, 2023
Provide support to internal staff, subcontractors and providers with respect to Medicaid related issues.
May 02, 2023