Offer summary
Qualifications:
Active, unrestricted RN licensure, Associates in a job-related field or Nursing School graduate, Two years of clinical nursing experience, Working knowledge of word processing software, Microsoft Office proficiency.
Key responsabilities:
- Perform medical claim reviews for eligibility under Medicare
- Determine medical necessity for coverage and reimbursement
- Educate staff on medical reviews and coding procedures
- Participate in quality control activities
- Assist with special projects as assigned