Doherty Staffing Solutions

Review Coordinator

Minnetonka, Minnesota
Depending on Qualifications
Nov 15, 2017
Nov 18, 2017
Job Type
Employment Status
Full Time

Doherty Top Talent is partnering with a large healthcare company located in Minnetonka, MN. We are seeking a Review Coordinator I on 1st shift for this exciting employment opportunity! This position pays $18.75-21.00/hour.

SUMMARY - The Review Coordinator I is responsible for coordinating all intake functions into the Utilization Management and Clinical Appeals Department in accordance with all department policies, regulatory, and accreditation requirements. The Review Coordinator processes all information received.

Review Coordinator I Main Duties/Responsibilities:

  • Process all incoming calls, faxes, letters, and email communications using various software applications
  • Research and review all incoming requests for appropriateness against requirements
  • Distributes and redirects to other departments as necessary
  • Responsible for coordination of resources to resolve provider and member concerns
  • Distributes cases and reviews based on department developed criteria
  • Identifies and communicates to department leadership opportunities for improvement and/or enhancements in provider and member relationships
  • Complete projects and assignments as directed
  • Assist with development of new or revisions of existing work flows and standard operating procedures to assure accuracy

Review Coordinator I Key Requirements/Qualifications:

  • Associates Degree preferred
  • 6 months-1year of relevant experience required
  • One year experience in the health care industry required
  • Knowledge and understanding of medical terminology and coding experience
  • 1 year managed care and/or health insurance experience
  • Computer literate
  • Proficient in investigation and problem solving activities
  • Strong verbal and written communication skills

Please apply today or contact your nearest Doherty recruiter with any questions.

  • Brooklyn Park: 952-715-5200
  • Edina: 952-832-8363
  • Minneapolis: 612-208-1611
  • Roseville: 651-489-5000

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