Search Jobs

LVN Preauthorization Nurse Auditor- Galleria Area

Houston Galleria, TX

Posted: 07/12/2019 Industry: Customer Care Job Number: 143704.10
Client in Galleria Area seeking LVN. Poisition is long term contract indefinite and salary is $20-25/hr. Job duties include: -Works as part of integrated team and is involved in reviews of authorization requests and communicates with the physicians and clinic when additional information is needed or assists clinical practitioner -Performs activities that include obtaining payer authorization for outpatient services that require notification/authorization based on payer specific guidelines. -Responsible for clinical part of audit to determine if all charges have been captured appropriately. -Maintains a thorough understanding of the plan's provider contracts and authorizations requirements -performs prior authorization and retrospective clinical review Qualifications: -licensed LVN in the state of texas -Minimum 6 months of utilization review, coding/billing, or authorization/case management experience (required). -Familiarity with hospital coding and billing processes (preferred). -Typing requirement 25 wpm

Send an email reminder to:

Share This Job:

Related Jobs:

Login to save this search and get notified of similar positions.