Job Summary
A company is looking for a Medical Review Specialist III who will support peer-to-peer processes in medical management.
Key Responsibilities
- Manage and review Medical Director's workflow queue and adjust as needed
- Schedule peer-to-peer (P2P) meetings between Medical Directors and providers for clinical service discussions
- Ensure timely completion of P2P authorizations in accordance with regulations and policies
Required Qualifications
- High School diploma or GED required
- 2 - 4 years of related experience preferred
- Strong knowledge of medical terminology and practices preferred
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