Health Care Service Corporation
10,000+ employees
Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.
Medical Reviewer II
🕒 3 days ago
🌽 Illinois, Montana, +3 more states – Remote
💵 $61.5k - $136.1k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔍🏥 Medical Reviewer
🦅 H1B Visa Sponsor
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Health Care Service Corporation
10,000+ employees
Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.
📋 Description
• Perform accurate and timely medical review of claims suspended for medical necessity • Initiate and/or respond to correspondence from providers or members concerning medical determinations
🎯 Requirements
• Registered Nurse with current, active RN license • 3 years clinical experience • Verbal and written communications skills • Analytical and decision-making skills • Customer Service skills
🏖️ Benefits
• Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Other incentives
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