Case Review Specialist - Portland Maine

Company: VirtualVocations
Location: Portland, Maine
Posted On: 01/22/2025

A company is looking for a Case Review Specialist to ensure accurate and timely case documentation and facilitate case discussions.



Key Responsibilities

Process cases and maintain clinical documentation for timely determinations
Intake pre-authorization requests and ensure responses are processed within established metrics
Collaborate with clinical and non-clinical staff to facilitate case discussions


Required Qualifications

Bachelor's Degree or relevant experience preferred
Minimum of 2-4 years' administrative experience and/or customer service required
Knowledge in pre-authorizations and health insurance client services preferred
Experience implementing systems for program effectiveness and productivity
Proficient in MS Office Suite More...

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