Medical Claims Consultant

Job Description

REQUIREMENTS

• At least 3 years clinical experience and one year as a reviewer
• Must be proficient with Microsoft Word and Excel
• Proficiency in navigating between multiple software platforms simultaneously
• Ability to efficiently extract and transfer information between different programs while maintaining accuracy
• Adaptability to learn new software systems and workflows quickly
• Demonstrated skill in organizing electronic information from disparate sources into cohesive work products
• Comfort with cloud-based collaboration tools and shared document environments

RESPONSIBILITES

• Analyzes medical records and medical bills for relatedness and causality for clients.
• Reviews medical records to evaluate care and status of the claimant.
• Conducts medical journal research.
• Provides clients with medical evidence preparation and organization.
• Examines issues, omissions and discrepancies in medical records.
• Prepares case summaries.

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