Case Review Specialist

A company is looking for a Case Review Specialist to ensure accurate case documentation and facilitate communication among staff. Key Responsibilities Process cases and maintain clinical documentation while providing timely determinations Intake pre-authorization requests and inquiries, ensuring responses are within established metrics Collaborate with clinical and non-clinical staff to facilitate case discussions Required Qualifications Bachelor's Degree or relevant experience preferred 2-4 years of administrative experience and/or customer service required Knowledge of pre-authorizations and health insurance client services preferred Experience in implementing systems for program effectiveness and productivity Proficiency in MS Office Suite

Feb 28, 2025 - 12:45

A company is looking for a Case Review Specialist to ensure accurate case documentation and facilitate communication among staff. Key Responsibilities Process cases and maintain clinical documentation while providing timely determinations Intake pre-authorization requests and inquiries, ensuring responses are within established metrics Collaborate with clinical and non-clinical staff to facilitate case discussions Required Qualifications Bachelor's Degree or relevant experience preferred 2-4 years of administrative experience and/or customer service required Knowledge of pre-authorizations and health insurance client services preferred Experience in implementing systems for program effectiveness and productivity Proficiency in MS Office Suite