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Clinical Analyst

Global Alliant Inc

Job Title: Clinical Analyst
Job Location: Remote

Job Duration: Contract / FTE

Client: Federal

Criteria- Need US citizenship because of federal regulations and the sensitive nature of the work involved.

Ability to obtain Public Trust Clearance

Must-have skills

  • US Healthcare / US Payer / Provider experience
  • Utilization Management / Utilization Review / Prior Authorization
  • Clinical or healthcare educational background
  • ICD-10, CPT, HCPCS
  • Claims, denials, billing or medical-necessity review
  • Provider communication / provider calls
  • Healthcare policy research and interpretation
  • Case investigation / issue resolution
  • Excel and reporting
  • SOP/process documentation
  • Strong written and verbal communication
  • Able to work 8 AM-6 PM EST coverage
Vacancy posted 5 days ago
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