Review Assistant

Telligen(1 month ago)

RemoteFull TimeJunior$57,596 - $77,425 (estimated)Clinical Operations

About this role

This role supports clinical review services by managing inbound and outbound communications related to case reviews. The position focuses on collecting and verifying medical and administrative data, ensuring its integrity for use in clinical decision-making. It involves handling confidential information and coordinating documentation across multiple channels. The role contributes to a smooth review process and accurate communication of review outcomes to members and providers.

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Required Skills

Case Review Support
Data Collection
Data Integrity
Clinical Information Handling
Medical Documentation
Regulatory Compliance
URAC Standards
Issue Escalation
Customer Service
Call Handling

+8 more

Qualifications

High School Diploma or Equivalent

About Telligen

telligen.com

Telligen is a health services and solutions company that has delivered proven health programs for federal and state agencies, health plans, employers and unions for more than 50 years. They provide evidence‑based program management, population health and care management, quality improvement, data analytics and technology to drive better outcomes and regulatory compliance. Telligen partners with government and payer organizations to design, implement and evaluate initiatives that lower costs, improve care quality and enhance program performance.