Medical Reviewer II

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Logo of Health Care Service Corporation

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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