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Case Review Specialist - Atlanta
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Job Description
- Req#: 8a78839f99cae8c2019a2b12f0d10d48
Employer Industry: Digital Health
Why consider this job opportunity:
- Competitive salary with a company bonus available from day one
- Opportunity for career advancement and growth within a rapidly expanding organization
- Flexible work options, including remote, hybrid, or in-office arrangements
- Supportive and collaborative work environment with a focus on team engagement and social activities
- Chance to make a significant impact in the oncology care space, supporting patients and providers
What to Expect (Job Responsibilities):
- Ensure accurate and timely case documentation is provided by providers for determinations
- Process cases and maintain clinical documentation, transmitting determinations via internal systems or phone
- Intake Pre-Authorization requests and inquiries, ensuring timely responses within established metrics
- Collaborate with clinical and non-clinical staff to facilitate effective case discussions
- Manage fax intake and labeling on weekends and holidays as needed
What is Required (Qualifications):
- Bachelor's Degree or relevant experience preferred
- A minimum of 2-4 years' administrative experience and/or customer service experience required
- Knowledge in pre-authorizations and health insurance client services preferred
- Proficient in MS Office Suite
- Reliable personal transportation and ability to work in the Atlanta office as required
How to Stand Out (Preferred Qualifications):
- Experience working remotely and independently
- Familiarity with implementing systems for program effectiveness and productivity
- Reside within 25 miles of the Atlanta office
#DigitalHealth #OncologyCare #RemoteWork #CareerGrowth #HealthcareInnovation
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