Clinic Certified Surgical Technologist - $28-50 per hour
Optum
Buena Park, CA
1 day ago
$28.27 - $50.48
This Job Position Has Expired
This job listing is no longer available for applications. The position may have been filled or the posting period has ended.
Job Description
Join Optum as a Clinic Certified Surgical Technologist, where you'll impact healthcare by reviewing medical records and appeals to ensure quality care and coverage. This role offers competitive pay and comprehensive benefits while working remotely within EST or CST time zones.
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
Proven 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 with Medicare and Medicaid