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Case Review Analyst Jobs in Arkansas

Nutrition Systematic Review Analyst
By Panum At United States
Experience with reference management software (e.g. Endnote, etc)
Experience with systematic review data management software (e.g., Covidence, DistillerSR, etc.)
Master’s degree in nutrition or related field and two years of experience in health, nutrition or related area
2 years relevant professional experience in nutrition or related field
Experience conducting systematic evidence reviews
4-5 years relevant professional experience in nutrition or related field
Pharmacovigilance Specialist- Case Review
By TotalMed, Inc. At United States
Bachelor's degree and 2 years of directly related experience OR Associate's degree and 6 years of directly related experience
Conduct follow up activities with HCP and patients.
Complete assigned reports and provide support for vendor related queries relating to ICSR processing.
Position Title – Pharmacovigilance Specialist
Contract Length – 6 months
Medical Bill Review Analyst (Remote)
By Mitchell International At United States
Task and time management / prioritization
Experience with DecisionPoint Medical Bill Review Software.
5+ Years experience with establishing custom business rules in a bill review application to enhance system performance and outcomes.
3+ years in formal requirements gathering processes.
3+ years testing and quality assurance experience.
Proven soft skills track record with:
Medical Bill Review Analyst - Remote
By Mitchell International At United States
2+ years experience in Evaluation and Management. Specifically related to 2021 AMA CPT changes.
CEMC - American Academy of Professional Coders designation as Certification Evaluation Management Coding.
2+ years of recent experience working with CPT (Current Procedural Terminology) with knowledge of (2016-2022)/ CPT Modifiers/HCPCS /ICD-9/ICD-10 coding guidelines.
Remote work experience with electronic records on a bill review platform: Smart Advisor.
Acts independently and manages own activities with minimal supervision and direction to meet customer needs using sound decision making.
3+ years experience in claims processing (original and reconsideration) for medical bill review or Clinical Code Review in Worker’s Compensation.
Claims Review Analyst Jobs
By TurningPoint Healthcare Solutions At United States
Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) by the American Health Information Management Association (AHIMA) Licensure, Certification
Excellent communication and customer service skills and analytical and problem-solving capabilities.
Manage all reviews and medical record requests within timeframes per service level agreements.
Minimum of 2 years’ experience in Customer Service, or applicable healthcare operations.
5+ years claim processing experience and demonstrated ability to handle multiple assignments competently, accurately, and efficiently.
Certified Coding Expertise; Knowledge of medical coding concepts and the uses of ICD10, HCPCS/CPT, and DRG coding.

Are you looking for an exciting opportunity to use your analytical skills to make an impact? We are looking for a Case Review Analyst to join our team and help us make sure our customers get the best experience possible. If you have a passion for problem-solving and a keen eye for detail, this could be the perfect job for you!

Overview:

Case Review Analysts are responsible for reviewing cases and providing feedback to ensure that all cases are handled in a timely and accurate manner. They are responsible for ensuring that all cases are handled in accordance with the organization’s policies and procedures.

Detailed Job Description:

Case Review Analysts are responsible for reviewing cases and providing feedback to ensure that all cases are handled in a timely and accurate manner. They are responsible for ensuring that all cases are handled in accordance with the organization’s policies and procedures. They must be able to identify and analyze potential issues and provide solutions to ensure that cases are handled in a timely and effective manner. They must also be able to communicate effectively with all stakeholders involved in the case.

What is Case Review Analyst Job Skills Required?

• Excellent communication and interpersonal skills
• Strong analytical and problem-solving skills
• Ability to work independently and as part of a team
• Ability to manage multiple tasks and prioritize work
• Knowledge of relevant laws and regulations
• Proficiency in Microsoft Office Suite

What is Case Review Analyst Job Qualifications?

• Bachelor’s degree in a related field
• Previous experience in a similar role
• Knowledge of relevant laws and regulations
• Excellent written and verbal communication skills

What is Case Review Analyst Job Knowledge?

• Knowledge of relevant laws and regulations
• Understanding of the organization’s policies and procedures
• Knowledge of case management systems and processes
• Knowledge of relevant software applications

What is Case Review Analyst Job Experience?

• Previous experience in a similar role
• Experience in customer service or case management
• Experience in data analysis and reporting

What is Case Review Analyst Job Responsibilities?

• Review cases and provide feedback to ensure that all cases are handled in a timely and accurate manner
• Identify and analyze potential issues and provide solutions to ensure that cases are handled in a timely and effective manner
• Communicate effectively with all stakeholders involved in the case
• Ensure that all cases are handled in accordance with the organization’s policies and procedures
• Monitor and track case progress and provide updates to stakeholders
• Prepare reports and presentations on case progress and outcomes