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Care Review Processor
4 weeks ago
Long Beach, California, US

Job Description

• Summary: Works within the Healthcare Services team to provide clerical support for correspondence.

• Essential Functions:

o Validate recipient name, address and phone numbers in systems

o Contact recipient to validate their name, address and phone numbers in systems, if required

o Generate and send letters based on prescribed guidelines

o Send fax based on prescribed guideline

o Document correspondence in the system

o Maintain and submit daily status reports to reporting Manager

o Identify and escalate risks to the reporting Manager real time

o Meet productivity standards

o Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).


• Required Education: High School Diploma/GED

• Required Experience: 0-2 years of experience in a Managed Care Environment. Previous Hospital or Healthcare clerical, audit or billing experience. Experience with Medical Terminology.

Job Requirements

medical, fax, report, entry, letters


Job Code: 50068415

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