Remote Clinical Claims Review Specialist I
Moda Health
Moda Health seeks a detail-oriented Claims Reviewer to support the Medical Management team in reviewing, researching and triaging post-service claims. You will apply utilization review knowledge and work on retrospective reviews in a full-time work-from-home role.Responsibilities include determining authorization needs, gathering medical records, and collaborating with providers and RN/supervisor on complex cases while ensuring HIPAA compliance and accurate data entry in Facets UM.J-18808-Ljbffr
Vacancy posted 3 days ago
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