Clinical Review Specialist - Full Time - Days
Clinical Review Specialist - Full Time - Days
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1 Vacancy
Job Description
Heres What You Need:
Education
H.S. Diploma or Equivalent REQUIRED
Experience
1 Year Relevant work experience such as experience with Medical or Healthcare Patient Access Customer Service Call Center or other relevant work experience REQUIRED and
Epic Cadence experience preferred and
Medical order processing or handling preferred and
Knowledge of Medical Terminology preferred
Skills
EPIC EMR experience. Trace experience. Order processing. Demonstrated excellent customer service skills. Knowledge of personal computers required. Analytical and organizational skills. Excellent verbal and written communications skills in English. Ability to present and communicate with different levels of business partners. Work cohesively within a team. Results oriented highly motivated selfstarter with the ability to work independently with minimal supervision. Intermediate
What you will do:
Review orders for appropriateness completeness and validity. Refers to the THR Enterprise Scheduling Permissions to determine scheduling status. Assess appropriateness of diagnosis. ICD 10 assessment. Assess medical appropriateness of services ordered. Transcribe orders for specific entitydeemed as operational task.
Ensure accurate and necessary data sets are present on all orders. Each order should be verified to meet the outpatient services policy for orders. Stays abreast of and complies with applicable regulations entity and/or system policies and procedures.
Communicate effectively with physician offices on incomplete orders. Build relationships with physician offices to further then advancement of the department objectives. Communicate effectively with clinical department for complex cases and review of protocols. Respond to mail fax or telephone inquires and seek assistance as appropriate. Establish and maintain working relationships with staff doctors offices and other internal and external departments to deliver services.
Parse and index incoming orders to appropriate destination
Responsible for reporting to work on time and as scheduled per THRs Time and Attendance Policy. Adhere to system hospital and departmental policies and procedures. Responsible for attending and participating in departmental meetings throughout the year. Participate in any additional meetings as requested by leadership and completing MyTalent educational requirements and THR requirements by the established deadline.
Additional perks of being a Texas Health Clinical Review Specialist
Benefits include 401k PTO medical dental Paid Parental Leave flex spending tuition reimbursement student Loan forgiveness as well as several other benefits.
A supportive team environment with outstanding opportunities for growth.
Explore our Texas Health careers site for info like Benefits Job Listings by Category recent Awards weve won and more.
Do you still have questions or concerns Feel free to email your questions to .
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Clinical Review Specialist
Are you looking for a rewarding careerWere looking for a qualifiedClinical Review Specialistlike you to join our Texas Health Resources family.
Work location:Remote (should be local to Texas)
Work hours: Full Time Monday Friday between 9:00 am 5:30pm
Enterprise Scheduling Department Highlights:
Remote work from home
Fast pace high volume call center
Ability to assist and help people while acting as the first touch/contact for patients
Room for promotion and long term growth
Required Experience:
Unclear Seniority
Employment Type
Full-Time
