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Medical Review Specialist
A company is looking for a Medical Review Specialist III to support peer-to-peer processes in medical management. Key Responsibilities Manage and review Medical Director's workflow queue and adjust as needed Schedule peer-to-peer (P2P) meetings between Medical Directors and providers for clinical service discussions Ensure timely conduct of P2P authorizations in accordance with regulations and policies Required Qualifications High School diploma or GED 2 - 4 years of related experience Strong knowledge of medical terminology and practices preferred
A company is looking for a Medical Review Specialist III to support peer-to-peer processes in medical management.
Key Responsibilities
Manage and review Medical Director's workflow queue and adjust as needed
Schedule peer-to-peer (P2P) meetings between Medical Directors and providers for clinical service discussions
Ensure timely conduct of P2P authorizations in accordance with regulations and policies
Required Qualifications
High School diploma or GED
2 - 4 years of related experience
Strong knowledge of medical terminology and practices preferred