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Retro Claims Nurse
Ref No.: 18-00263
Location: Monterey Park, California
Position Type:Contract
Start Date: 03/30/2018
Retro Claims Nurse- Monterey Park, CA Contract Opportunity!
Nurse will assist with review of backlog of retro cases to provide for timely payment of post service claims.
Required Skills (top 3 to 5/ non-negotiables): What you like to see on resumes? (nice to have)
1. Computer Skills 1. Any type of claims experience is helpful
2. Reviewing in Milliman, MCG or interqual is necessary. (So, case management experience in HMO or hospital setting is needed.) 2.  
3. Previous work in Electronic Charting Systems of any type. 3.  
Education Requirement: LVN or RN license.