Case Review Specialist

A company is looking for a Case Review Specialist. Key Responsibilities Process cases and maintain clinical documentation for timely determinations Intake Pre-Authorization requests and ensure they 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 A minimum of 2-4 years' administrative experience or relevant educational attainment required Knowledge in pre-authorizations and health insurance client services preferred Experience in implementing systems for program effectiveness and productivity required Proficient in MS Office Suite

Jun 20, 2025 - 21:20

A company is looking for a Case Review Specialist. Key Responsibilities Process cases and maintain clinical documentation for timely determinations Intake Pre-Authorization requests and ensure they 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 A minimum of 2-4 years' administrative experience or relevant educational attainment required Knowledge in pre-authorizations and health insurance client services preferred Experience in implementing systems for program effectiveness and productivity required Proficient in MS Office Suite