Clinic Certified Surgical Technologist - $28-50 per hour
Optum
Cerritos, CA
21 hours ago
$28.27 - $50.48
Job Description
Join Optum as a Clinic Certified Surgical Technologist, where you'll use your clinical expertise to review medical appeals and impact healthcare outcomes. Enjoy the flexibility of remote work while contributing to a vital area of healthcare.
Key Responsibilities
Perform initial assessment review of appeals and medical records
Identify if additional information is required to process an appeal
Adapt to changes requiring cross training on appeal types
Utilize clinical nursing judgment and critical thinking skills
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 or Medicaid/Medicare appeals
Understanding of billable services and claims in a managed care environment
Solid Microsoft Office skills
Access to high-speed internet
Ability to work 8-5 EST
Preferred Qualifications
5+ years of Medical Appeal experience with Medicare and Medicaid