Case Reviewer, Experienced

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $39.4k - $77.2k / year

⏰ Full Time

🟢 Junior

👻 Ghost score 0%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of CACI International Inc

CACI International Inc

10,000+ employees

Founded 1962

💼 Consulting

🎖️ Defense

Consulting • Defense • IT

CACI International Inc is a diversified company that provides a wide range of services and solutions primarily to the U. S. government and commercial sectors. CACI specializes in offering security services, IT solutions, and intelligence support, helping clients enhance their cyber capabilities and secure their networks. The company is recognized for its innovative workforce and the technology it provides to clients in enterprise and mission-critical environments. CACI is committed to diversity and inclusion, offering an array of career opportunities for both new graduates and experienced professionals, including veterans.

📋 Description

• Review reports of investigations submitted by Field Investigators and Record Searchers • Ensure investigations are accurate, complete, timely, and adhere to customer and CACI requirements • Provide guidance on customer investigation requirements • Maintain quality and production meeting customer contract requirements and CACI performance expectations • Identify error trends and communicate them to investigators, record searchers, and management • Collaborate with review team members, field investigators, and record searchers to develop training and guidance • Complete other duties as assigned • Support the federal background investigation program and national security missions

🎯 Requirements

• At least 12 months’ experience conducting/processing background investigations on behalf of the customer • Must currently work on the contract • Bachelor’s degree or equivalent work-related experience • U.S. Citizenship • Ability to pass a mandatory pre-employment drug test • Ability to obtain and maintain a favorable U.S. Government security clearance • Minimum clearance required to start: Top Secret • Self-starter with the ability to work independently • Detail oriented with a focus on analyzing information • Excellent oral and written communication skills • Strong customer service and teamwork skills • Proficient in Microsoft Office Suite • Proficient in using the internet • Sense of mission in support of national security • Impeccable work ethic, integrity, and can-do attitude • Excellent time management and administrative skills

🏖️ Benefits

• Flexible time off benefit • Robust learning resources • Healthcare benefits • Wellness benefits • Financial benefits • Retirement benefits • Family support benefits • Continuing education benefits • Time off benefits • Competitive compensation • Learning and development opportunities

Apply Now

Similar Jobs

🕒 Yesterday

Netsmart

1001 - 5000

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Coding and OASIS Reviewer improving ICD-10 coding and OASIS accuracy for Netsmart’s post-acute care clients. Reviewing charts, documenting changes, and supporting compliant reimbursement.

🕒 July 28

EnableComp

501 - 1000

💼 Consulting

🛡️ Insurance

📦 Logistics

DRG Validator/Reviewer responsible for reviewing post-billed inpatient claims for missed reimbursement opportunities. Utilizes ICD-10 coding expertise to optimize hospital reimbursement while ensuring compliance.

🇺🇸 United States – Remote

💰 Venture Round on 2022-07

⏰ Full Time

🟢 Junior

🟡 Mid-level

🕒 July 15

Palmetto GBA

1001 - 5000

🏥 Healthcare

💼 Consulting

📦 Logistics

Medical claims reviewer assessing necessity, coding, and reimbursement for BlueCross BlueShield South Carolina. Remote role serving South Carolina, Georgia, North Carolina, or Alabama.

🕒 June 29

Machinify

1001 - 5000

🏥 Healthcare

💼 Consulting

📦 Logistics

DRG Reviewer at Machinify conducting thorough DRG payment validation reviews including medical record assessments. Collaborating with stakeholders to ensure compliance and support accurate payment determinations.

🇺🇸 United States – Remote

💵 $90k - $115k / year

💰 $10M Series A - Machinify on 2018-10

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

infoinfo

🕒 June 24

Simsy Ventures

11 - 50

💼 Consulting

📣 Marketing

🏥 Healthcare

Medical Claim Reviewer conducting pre- and post-payment medical reviews in the U.S. for Broadway Ventures. Assessing medical necessity and compliance with established guidelines.

🇺🇸 United States – Remote

💵 $65k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level