US
0 suggestions are available, use up and down arrow to navigate them
PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Care Review Processor I:
-
Employment Type:
Contractor
-
Location:
Phoenix, AZ (Onsite)
Do you meet the requirements for this job?
Care Review Processor I
Careers Integrated Resources Inc
Phoenix, AZ (Onsite)
Contractor
Job Title: Care Review Processor I
Work Location: 100% Remote
Time Zone Requirement: PST (8:30 AM – 5:30 PM PST)
Location Requirement: Must reside in AZ/WA/UT/ID/NM
Pay Rate:$22.75/hr.on w2
Summary:
This position supports the Care Access and Monitoring (CAM) team, providing clerical and data entry support for members requiring hospitalization or utilization review. The role ensures accurate data handling and coordination to support the delivery of high-quality, cost-effective healthcare services.
Day-to-Day Responsibilities:
Perform data entry, phone support, and processing of authorization requests
Verify member eligibility and benefits
Review and enter provider and diagnosis information
Assign billing codes (ICD-9/ICD-10, CPT/HCPC)
Confirm Coordination of Benefits (COB) status
Track inpatient hospital census, including admissions and discharges
Communicate with physician offices to gather missing or additional information
Notify nurses and case managers about hospital admissions and status changes
Respond to service authorization requests via phone, fax, and mail
Ensure compliance with HIPAA regulations
Attend CAM team meetings and meet attendance and productivity standards
Maintain confidentiality and adhere to company policies and guidelines
Essential Skills & Abilities:
Excellent communication, problem-solving, and interpersonal skills
Strong understanding of medical terminology and abbreviations
Detail-oriented with the ability to manage tasks in a fast-paced environment
Proficient with Microsoft Office and experienced in accurate data entry (minimum 40 WPM)
Ability to work independently and collaboratively
High regard for confidential information and adherence to HIPAA standards
Required Qualifications:
Education: High School Diploma or GED
-
0–2 years in a Utilization Review Department or Managed Care Environment
Experience in hospital, healthcare clerical, audit, or billing
Familiarity with medical terminology
Other Requirements:
No licensure required
Must have some experience in the medical field (any kind)
Get job alerts by email.
Sign up now!
Join Our Talent Network!