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Clinical Analyst
Global Alliant
73d ago
0OtherUnited Stateshimalayas
Clinical-AnalystHealthcare-AnalystUtilization-Management-AnalystPrior-Authorization-SpecialistHealthcare-Compliance-AnalystHealthcare-Clinical-AnalystSenior-Clinical-AnalystClinical-Data-AnalystClinical-Analytics-SpecialistClinical-Research-AnalystClinical-Applications-AnalystClinical-Operations-AnalystClinical-Application-AnalystRN-Clinical-AnalystMid-level
Job Description
Job Title: Clinical AnalystJob Location: RemoteJob Duration: Contract / FTEClient: FederalCriteria- Need US citizenship because of federal regulations and the sensitive nature of the work involved.Ability to obtain Public Trust ClearanceMust-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
Originally posted on Himalayas