Remote Medical Reviewer III - Claims & Compliance
CGS Administrators LLC
Raleigh, NC
- Remote job
BlueCross BlueShield of South Carolina and its subsidiary CGS Administrators LLC are seeking a skilled reviewer to analyze medical claims and determine coverage decisions. The role emphasizes data accuracy, documentation of medical rationale, and education of staff within a remote, full-time schedule aligned with CST business hours. The position requires an RN license (US) or a multistate compact license, 2+ years clinical experience, and familiarity with managed care and coding procedures. #J-18808-Ljbffr CGS Administrators LLC
Vacancy posted 3 days ago
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