Medical Reviewer

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LimitlessliHealthcare
Manila, PH / Cebu City, PH / Davao, PH, US Eastern Standard Time (EST) 9am to 6pmFull-TimeMiddle
Salary$105,000 – $120,000 / year
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Job Details

Languages
English
Experience
2+ years of clinical experience in a US Healthcare environment is preferred
Required Skills
Microsoft ExcelMS Office

Requirements

  • NCLEX-RN or NYS Licensed Professional RN.
  • Must possess a valid NY nursing license.
  • Graduate degree in BS Nursing or similar field.
  • 2+ years of clinical experience in a US Healthcare environment preferred.
  • Excellent written and verbal English communication skills.
  • Proficient in MS Office applications such as Word and Excel.
  • Reliable computer, noise-canceling headset, and second monitor.
  • Stable internet connection with a required backup connection.

Responsibilities

  • Review and update patient care plans to ensure they are current and reflect required care.
  • Manage authorization requests to insurance companies efficiently.
  • Review and update patient records in the EMR.
  • Attend care plan meetings to collate and finalize comprehensive care plans.
  • Manage MD orders for patients to ensure prescribed care is received.
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$105,000 – $120,000 / year
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