Care Review Processor I Job

CARE REVIEW PROCESSOR Ineeded for a FULL TIME/CONTRACT opportunity with Yoh's client located in Columbus, Ohio .

TOP SKILLS SHOULD YOU POSSESS:

- GED/High School Diploma
- Two - five (2-5) years of experience in a Utilization Review Department in a Managed Care Environment
- Medical Terminology

WHAT YOU'LL BE DOING:

- Provider submits request Worker processes request via fax
- Determine provider contracting status and appropriateness
- Determine diagnosis and treatment request o Assign billing codes (ICD-9/ICD-10 and/or CPT/HCPC codes),
- Verify inpatient hospital census-admits and discharges

WHAT YOU NEED TO BRING TO THE TABLE:

- GED/High School Diploma
- Two - five (2-5) years of experience in a Utilization Review Department in a Managed Care Environment
- Must have experience working with QNXT
- Previous Hospital or Healthcare clerical, audit or billing experience
- Must have Medial Terminology Experience
- Must have strong knowledge of Microsoft office including Outlook, Word, Excel and Access
- Excellent verbal and written communication skills

OPPORTUNITY IS CALLING, APPLY NOW!

RECRUITER:Christine Torres  

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