Clinic Certified Surgical Technologist - $28-50 per hour
Optum
Louisville, KY
3 days ago
$28.27 - $50.48
Job Description
Join Optum as a Clinic Certified Surgical Technologist and play a crucial role in improving health outcomes. You'll work in a dynamic environment, utilizing your clinical skills to support patient care and navigate complex appeals processes.
Key Responsibilities
Perform initial assessment review of appeals and medical records
Identify if additional information is required for appeals
Adapt to changes requiring cross training on appeal types
Utilize clinical nursing judgment and critical thinking for decision making
Navigate multiple computer programs while managing tasks and priorities
Required Qualifications
Current, valid, and unrestricted RN licensure
2+ years of clinical experience in an acute care or outpatient setting
1+ years of experience in Utilization Review, Medicaid and/or Medicare appeals, or related areas
Proven experience with billable services and claims in a managed care environment
Solid Microsoft Office skills
Access to high-speed internet
Ability to work 8-5 within EST
Preferred Qualifications
5+ years of Medical Appeal experience with Medicare and Medicaid