Clinic Certified Surgical Technologist - $28-50 per hour
Optum
Irvine, CA
3 days ago
$28.27 - $50.48
Job Description
Join Optum as a Clinic Certified Surgical Technologist and play a vital role in improving healthcare for millions. Utilize your clinical expertise to assess appeals and ensure quality care.
Key Responsibilities
Perform initial assessment review of appeals, medical records, and CMS/State Policies
Identify if additional information is required to process an appeal
Adapt to changes that require cross training on appeal types
Work independently using clinical judgment and critical thinking skills
Navigate multiple computer programs while managing tasks and priorities
Required Qualifications
Current, valid, and unrestricted RN licensure in your state of residence
2+ years of clinical experience in an acute care or an outpatient setting
1+ years of direct experience in Utilization Review, Medicaid and/or Medicare appeals, or related areas
Proven experience/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 within EST
Preferred Qualifications
5+ years of Medical Appeal experience working with Medicare and Medicaid