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Key Responsibilities:
- Process incoming medical referrals and enter accurate information into medical management systems.
- Review referrals for applicable benefits and medical necessity, escalating sensitive cases for further clinical assessment.
- Assign ICD-10 diagnosis codes and CPT procedure codes to ensure accurate documentation.
Requirements:
- U.S. citizenship and ability to obtain interim approval for a government security clearance through NBIS.
- At least 2 years of customer service, administrative, or data entry experience and 2 years of healthcare experience.
- Strong proficiency in Microsoft Office applications and working knowledge of medical terminology, CPT, and ICD coding.
Benefits & Perks:
- Annual base salary from $39,000 to $49,400 plus performance bonus incentives.
- Medical, dental, vision, 401(k), paid time off, parental leave, disability, and life insurance.
- Fully remote nationwide work arrangement with opportunities for professional development.
Jobgether
This position is listed on behalf of a partner company that manages all applications and next steps. The company supports healthcare service delivery by ensuring medical referrals are processed accurately and efficiently within a structured, collaborative remote team.