Senior Medical Reviewer II - RN, Medical Necessity & Claims
HCSC
Health Care Service Corporation (HCSC) seeks a Registered Nurse to perform accurate and timely medical review of claims suspended for medical necessity, contract interpretation, and pricing across regular business and national accounts. The role requires an active RN license in the state of operations, minimum 3 years of clinical experience, strong communication and analytical skills, and a focus on customer service. Equal opportunity employer. #J-18808-Ljbffr HCSC
Vacancy posted 1 day ago
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