This non-clinical administrative staff person will perform steps of the certification process including the acquisition of non-clinical and structured clinical data, review of service requirements, and file maintenance. This individual will perform scripted clinical screening that does not require evaluation or interpretation of clinical information. This position performs activities that allow the first level reviewers to primarily allocate their time to interpreting clinical data, applying review criteria, making certification determinations, and perform discharge planning. The individual is non-licensed and therefore is only responsible for making non-clinical administrative judgments. The individual is under the supervision of a licensed registered nurse, and all calls requiring clinical assessment are forwarded to the RN for review.
JOB DUTIES:
PM21
Requirements:EDUCATION: High School Diploma or equivalent with some post-secondary education desirable. Courses in medical terminology preferred.
SKILLS: Knowledge of computers along with fluent keyboarding, data entry in databases, word processing, and multiple line telephone systems. Bi-lingual helpful but not required.
EXPERIENCE: Experience in the health care industry such as medical transcription. Successful completion of the URA orientation program and maintenance of minimal QA standards. 1-2 years experience or relevant education in the health care industry
PERSONAL QUALIFICATIONS: Helpful and friendly telephone personality. Ability to proof written material accurately, accurate data entry ability. Ability to organize a large variety of tasks and prioritize as directed by UR Manager. Ability to work with a variety of professional staff and provide clerical backup as needed for that staff. Understanding of customer service.
PI8e3b3db62690-30492-35324900
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