Job Summary

Medical Reviewer

  • Location:
    Beaverton, Oregon
  • Job reference:
    US_EN_3_105445_322557
  • Category:
    Analyst
  • Contract Type:
    Contract/Temporary

A Medical Reviewer position in Beaverton, Oregon is available courtesy of Modis.

Responsibilities:

Follows written procedures and scripts
Consults with team leadership and peers on case work
Uses proprietary software tools to access and review claim documents, enter claim decisions, and create escalations when needed
Communicates immediately to leadership all obstacles to completing work
Meets and exceeds departmental expectations for accuracy and productivity
Contributes subject area expertise to determine processing guidelines and assess if standards have been met
Utilizes documented team processes to ensure compliance with departmental standards
Data entry and verification
Drafts claimant facing communications based on guidance provided
Communicates directly with claimants by phone or email
Verifies data and processing requirements and makes corrections as necessary


Qualifications:

RN or Associate Degree in Nursing
Excellent attention to detail
Strong communication skills, both written and verbal
Sharp critical thinking skills with sound judgment
Ability to sit at a computer workstation for long periods of time


If you are interested in the Nurse Reviewer opportunity, please click APPLY NOW. For other opportunities available at Modis, please visit www.modis.com. If you have questions about the position, please contact Ashley Gonzalez at Ashley.Gonzalez@Modis.com

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

Apply Below

OR

Note: Required fields marked with an asterisk (*).

*
Greeting



*
*
*
*
*
*
Primary Number
*
*
Preferences
[Ctrl (Cmd Mac) + Click] to select multiple industries
Upload your resume
*
Terms of Use
*

Or

Upload your resume using

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Equal employment opportunity information:
EEO is the Law (poster) | EEO is the Law (poster supplement) | Reaffirmation of Affirmative Action Policy Statement