Medical Reviewer - USRN NY - Wound Care
New
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LimitlessliHealthcare
Manila, PH / Cebu, PH / Davao, PH, US Eastern Standard Time (EST) – 8am to 6pmFull-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- English
- Experience
- 2+ years of clinical wound care experience preferred
- Required Skills
- MS Office
Requirements
- Registered Nurse (RN) with an active New York (NY) License
- 2+ years of clinical wound care experience preferred
- Excellent English communication skills, both verbal and written
- Strong working knowledge of MS Office applications
- Exceptional organizational skills with a keen eye for detail
- Critical thinking and customer service skills
- Knowledge of PCC and Brightree systems is a plus
- Previous experience in a similar role or related field is preferred
- Reliable computer, noise-canceling headset, and a second monitor
- Stable primary and backup internet connection
Responsibilities
- Create and maintain client profiles by accurately inputting information into the client's system
- Work closely with clinical staff to retrieve necessary information required for processing patient claims
- Verify the completeness and accuracy of client information, make necessary updates, and review and analyze claim documentation for compliance with established guidelines and requirements
- Maintain confidentiality and handle sensitive information by established protocols
- Assist in the development and implementation of process improvements to enhance efficiency and quality
- Maintain effective working relationships with colleagues using appropriate interpersonal and communication skills
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