Care Review Processor II
Company: VirtualVocations
Location: Denton
Posted on: May 3, 2025
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Job Description:
A company is looking for a Care Review Processor II to support
their Care Access and Monitoring team in a remote, temp-to-perm
role.
Key Responsibilities
Review and process authorization requests received by phone, mail,
and fax
Verify member eligibility, benefits, and provider contracting
status
Communicate with providers to gather missing or additional
information and maintain accurate documentation
Required Qualifications
High School Diploma or GED required
2-4 years of experience in a Utilization Review Department within a
Managed Care setting
Prior experience in a hospital, healthcare billing, or clerical
environment
Familiarity with medical terminology, UM, and prior authorization
processes
Strong data entry skills (minimum 40 WPM) and proficiency in
Microsoft Office
Keywords: VirtualVocations, North Richland Hills , Care Review Processor II, Other , Denton, Texas
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