Healthcare Analyst Jobs 100% Remote 2021

Job Responsibilities : Remote Medical Review Analyst

Salary : $55,000 – $65,000 a year

Company : Piper Companies

Location : Remote US

Responsibilities of the Medical Review Analyst:

Review records/charts for pre-existing, medical necessity, benefits eligibility, or adequate reimbursement funds for claims by utilizing clinical experience.
Follow up root cause and recommend solutions. Communicate findings regarding root cause with necessary stakeholders.
Review claims submitted by both medical personnel and members by utilizing clinical knowledge. Determine medical necessity of treatment and refer cases accordingly.
Identify and document inappropriate billing or utilization trends.
Keep members and providers informed about the status of claims and medical reasoning behind next steps.

Qualifications of the Medical Review Analyst:

RN/LPN NC license
Strong computer skills
3+ years of hands on clinical experience in a hospital or other clinical setting
Medical billing experience not required, but nice to have

Compensation of the Medical Review Analyst:

Salary: $55,000-$65,000
Full Benefits: Medical, Dental, Vision, 401k

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