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Remote RN Medical Review Specialist II

HCSC

Richardson, TX
  • Remote job

Health Care Service Corporation seeks a Medical Reviewer II to perform accurate and timely medical review of claims suspended for medical necessity, contract interpretation, and pricing. You will initiate or respond to correspondence from providers or members regarding medical determinations, working within Texas and national accounts. The ideal candidate holds an active RN license, with 3 years of clinical experience, and demonstrates strong verbal and written communication along with #J-18808-Ljbffr Health Care Service Corporation

Vacancy posted 2 days ago
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