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Care Review Processors job - Confidential

Company Name

Confidential jobs

Job Posted August 9, 2018
Experience 2-5 years experience

Care Review Processors  

A large Managed Care Company in the Long Beach area is currently hiring Care Review Processors. We are looking for professional candidates who can be available same day or next day for assignments at any given time. r r r r r rOverview: r r r r Works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for members that require hospitalization and/or utilization review for other healthcare services r Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate Health Care Services staff to ensure the delivery of high quality, cost-effective healthcare services according to State and Federal requirements to achieve optimal outcomes for members r Provide computer entries of authorization request/provider inquiries by phone, mail, or fax r Verify member eligibility and benefits r Determine provider contracting status and appropriateness r Determine ...

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