Reimbursement Counselor

Washington, DC

Posted: 10/10/2019 Employment Type: Healthcare Industry: Healthcare Job Number: MTR Pay Rate: $19.36 per hour

LONG TERM CONTRACT POSITION!

Our utilization review teams conduct medical necessity reviews for medical, dental, and other healthcare services under Medicaid. 

This position support them by:

  • Helping providers to submit documentation of requests for case management, utilization review, and other medical management services.
  • Loading cases submitted via the web, fax, or phone into the care management system for clinical review.
  • Conveying case information and other notifications to providers via inbound and outbound phone calls.
  • May perform scripted clinical review.
  • Refers reviews requiring further action to clinical review staff or supervisor.
  • Performing other duties as assigned.

 

Key abilities we seek include:

  • Reliability, Dependability, Customer focus, Flexibility, Detail Oriented, Excellent communication (verbal and written), Team oriented, Positive Attitude

 

Qualifications:

3 years of medical claims/medical billing, Must have strong Medicaid experience, Medical terminology, Microsoft Office (Word, Excel and Outlook), Type 40 wpm

 

Location: Metro Center Station

Hours: Monday through Friday / 8:00am to 5:00pm 

Type: Contract

Pay Rate: $19.36 per hour

 

Please email resume to mrobinson@nri-staffing.com.

 

NRI is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Marian Robinson
Senior Account Manager

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