Physician Assistant
Nityo Infotech Corporation
Job title: Physician ED Claims Reviewer Location: Remote Job type: Full time and Contract Interview: Video Required skills: Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review of claims and UM authorization requests for clinical necessity .Minimum of recent (last 2-3 years) 3-5 clinical experience in emergency dept medicine, experience in internal medicine will be considered. Experience in managed care, clinical UM case reviews. Knowledge of claims and medical coding (CPT/HCPCS codes). Proficient working in various systems and applications . Desired skills : Experience/knowledge in utilization management is a plus. Ability to work independently in a fast paced environmen t.• Strong Agile experience: user story development, requirements gathering, and portfolio manageme nt
Vacancy posted 13 hours ago
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