Noridian
Redetermination Examiner - REMOTE
This job is now closed
Job Description
- Req#: REDET004469
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive pay up to $23.69 per hour
- Opportunity for career advancement and growth within the organization
- Remote work opportunity
- Comprehensive benefits package including health, dental, and vision insurance
- Incentive plan for additional compensation
- Casual dress code and open office setting
What to Expect (Job Responsibilities):
- Conduct redetermination reviews per Medicare rules and regulations
- Respond to incoming appeals from Medicare appellants in a professional, timely, and accurate manner
- Research and identify claims processing deficiencies and initiate corrective response
- Evaluate medical documentation to determine if it meets outlined policy criteria
- Submit educational referrals as necessary to decrease redeterminations and allow claims to pay at the lowest level of appeal
What is Required (Qualifications):
- High School diploma or GED
- 6 months of work-related experience
- General PC knowledge
- Strong communication and analytical skills
- Ability to adapt to changes
How to Stand Out (Preferred Qualifications):
- 1-year redetermination processing experience
- Knowledge of medical terminology, Claims Processing Timelines (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD coding
#HealthcareServices #CareerOpportunity #CompetitivePay #RemoteWork #BenefitsPackage
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Noridian delivers the most dependable program administration to Center for Medicare & Medicaid Services, State Medicaid and Veterans Administration.
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