RentonRecruiter Since 2001
the smart solution for Renton jobs

Review Services Coordinator

Company: Aerotek
Location: Renton
Posted on: February 18, 2021

Job Description:

Description:The Review Services Coordinator is a critical role in adjudicating pre-authorization coverage requests for all types of services - medical and DME. This role includes handling a high volume of incoming calls from members and providers, managing multiple requests simultaneously and accurately and easily identifying requests that require a higher level of clinical review.Skills:health insurance, Pre authorizations, Claims Support, Medical, Coding, ICD*, CPT, benefits, eligibility, billingTop Skills Details:CPT, claims, prior authorizationAdditional Skills & Qualifications:Minimum Knowledge/Skills Requirements Intermediate Computer skills, medical terminology, Medicare and strong communication skills. Computer skills in Windows environment, including MS Word and Excel and Kaiser Permanente applications. Communication and interpersonal skills. Working knowledge of Health Plan benefits and includes reading and interpreting contracts and coverage and understanding claims payment. Basic understanding of Medicare regulations, particularly those pertaining to the provision of Part B services. Education Minimum High School Diploma/GED Preferred Knowledge/Skills Minimum Experience 2 years healthcare experience with emphasis in health insurance including Pre authorizations, benefits and eligibility, billing. Working with the public with emphasis on problem solving and conflict resolution. 2 years' experience with on-line computer systems and Microsoft Office. 1 year Phone customer service experience. Preferred Experience Experience with Health Plan contracts & coverage. Health Plan claims experience. Medical Coding experience with ICD-9/10, CPT and HCPCS. Soft Skills Required:-Independent worker, able to utilize resources prior to reaching out to management, have lot of regulations and material to read through. Candidates need to be willing to read through processes and try to find information on their own.-Flexible with strong critical thinking skills - lot of gray area in procedures, people used to rigid structure/black and white procedures do not do well-Time management skills - lot of independent work, candidates from strict adherence or metrics based environment do wellCandidates should be familiar with MS office suite, and Access database. Strong customer service. Understanding of healthcare and coding preferred,Experience Level:Intermediate Level About Aerotek:We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Keywords: Aerotek, Renton , Review Services Coordinator, Other , Renton, Washington

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Sr or Principal Data Scientist*
Description: We are hiring Data Scientists at these levels: Senior Lead Staff or Sr. Staff Principal WHO WE ARE: Voted one of the Top 100 Fastest Growing Companies in the Bay Area for 2020, Freedom Financial Network (more...)
Company: Freedom Financial
Location: Olympia
Posted on: 02/26/2021

Customer Service Specialist
Description: Description:Responding to customer queries in a timely and accurate way, via phone, email or chatIdentifying customer needs and helping customers use specific featuresAnalyzing and reporting product malfunctionsCustomer (more...)
Company: Aerotek
Location: Kirkland
Posted on: 02/26/2021

Front-End Engineer
Description: Join Hired and find your dream job as a Front-End Engineer at one of 10,000 companies looking for candidates just like you.Companies on Hired apply to you, not the other way around. You'll receive (more...)
Company: HIRED
Location: Redmond
Posted on: 02/26/2021


Senior or Principal Data Scientist*
Description: We are hiring Data Scientists at these levels:SeniorLead Staff or Sr. Staff PrincipalWHO WE ARE:Voted one of the Top 100 Fastest Growing Companies in the Bay Area for 2020, Freedom Financial Network (more...)
Company: Freedom Financial
Location: Olympia
Posted on: 02/26/2021

Lot Associate
Description: Job Description Lot Associates assist customers with the loading of their vehicles and also monitor
Company: Home Depot
Location: Olympia
Posted on: 02/26/2021

Software Engineer - Remote
Description: Join Hired and find your dream job as a Software Engineer at one of 10,000 companies looking for candidates just like you.Companies on Hired apply to you, not the other way around. You'll receive (more...)
Company: HIRED
Location: Redmond
Posted on: 02/26/2021

Full-Stack Software Engineer - Remote
Description: Join Hired and find your dream job as a Full Stack Software Engineer at one of 10,000 companies looking for candidates just like you.Companies on Hired apply to you, not the other way around. You'll (more...)
Company: HIRED
Location: Kirkland
Posted on: 02/26/2021

Remote Software Engineer
Description: 12 month contract for a 100 remote Software Engineer to work on new product development This exciting opportunity will require selected candidate to be a Subject Matter Expert and helpintegrate game (more...)
Company: Aerotek
Location: Redmond
Posted on: 02/26/2021

MEchanical Test Technicain
Description: ME Lab TechnicianJob Description: ul li Mechanical Testing Perform functional, stress, system, and other types of mechanical testing. li Assist on development of those
Company: H10 Capital
Location: Redmond
Posted on: 02/26/2021

Indirect Fire Infantryman (11C)
Description: As an Army National Guard Indirect Fire Infantryman, you'll be in charge of the Infantry's most powerful weapon - the mortar. As part of a mortar squad, section, or platoon, you will perform challenging (more...)
Company: Army National Guard
Location: Redmond
Posted on: 02/26/2021

Log In or Create An Account

Get the latest Washington jobs by following @recnetWA on Twitter!

Renton RSS job feeds