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Clinical Analyst

globalalliant · Remote, Maryland, United States

RemoteExternal listingcontract1 day ago

About The Role

Job Title: Clinical Analyst

Job Location: Remote

Job Duration: Contract / FTE

Client: Federal

  • Criteria- Need US citizenship because of federal regulations and the sensitive nature of the work involved.
  • Ability to obtain Public Trust Clearance
  • Must-have skills
  • US Healthcare / US Payer / Provider experience
  • Utilization Management / Utilization Review / Prior Authorization
  • Clinical or healthcare educational background
  • ICD-10, CPT, HCPCS
  • Claims, denials, billing or medical-necessity review
  • Provider communication / provider calls
  • Healthcare policy research and interpretation
  • Case investigation / issue resolution
  • Excel and reporting
  • SOP/process documentation
  • Strong written and verbal communication
  • Able to work 8 AM–6 PM EST coverage

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