Review Services Coordinator
Company: Aerotek
Location: Renton
Posted on: February 23, 2021
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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 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, 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
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