Customer Service - Registered Nurse
Job Code : HGS/356EL PASO | TX Permanent
We are currently hiring for a Registered Nurse to join our team.
What would you be doing?
You would be responsible for utilizing clinical acumen and managed care expertise related to researching, resolving and responding to requests for member and provider appeals, grievances, reconsideration and corrected claims for Medicare line of business with emphasis on privacy, accuracy, meeting all regulatory and compliance timelines.
What do we offer?
$25.00 - $30.00 / hour depending on experience
A Comprehensive health and dental plan after 90 days
50% top-up to your 401K contributions
A Full-Time Schedule
A Real opportunity to grow your career
US state licensed RN (may have compact license)
Min 2-3 years of clinical experience in acute care or hospital set up
Prior grievance and appeals or utilization management experience preferred
Managed care experience
Ability to work independently and follow strict state and NCQA guidelines as well as client policies
BE self-driven and motivated to complete productivity requirements.
Good ability for reading and written English, clinical acumen and medical records review skills.
The ability to work within a Monday Friday 7:00am – 5:00pm timeframe (some Saturdays may be required)
HGS is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.