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A business unit of General Dynamics, General Dynamics Information Technology (GDIT) supports some of the United States' most complex government, defense, and in
Healthcare Claims Examiner, RN Required
Location
North Carolina
Posted
110 days ago
Salary
$60.4K - $81.7K / year
Seniority
Mid Level
Job Description
Healthcare Claims Examiner, RN Required
General Dynamics
• Evaluate appropriateness of beneficiaries' admission to nursing facilities • Verify documentation of medical necessity for prior approval requests • Meet performance expectations by completing at least 40 prior approval reviews daily • Achieve quality assurance reviews with greater than 95% accuracy • Complete timely reviews within 24 hours
Job Requirements
- Active North Carolina Registered Nurse license or Compact license
- At least 2 years of clinical experience
- Knowledge of Microsoft Office and Outlook
- Experience with medical documentation review
- Knowledge of NCTracks and business processes of North Carolina Division of Medicaid preferred
- Clinical medical, surgical and nursing facility experience preferred
- Clinical research experience preferred
Benefits
- Variety of medical plan options
- 401(k) plan with company match
- Full flex work weeks where possible
- Paid time off including vacation, sick and personal time, and holidays
- Paid parental, military, bereavement and jury duty leave
- 15 days of paid leave per calendar year
- 10 paid holidays per year
- Paid Family Leave program
- Short and long-term disability benefits
- Life and accidental death and dismemberment insurance
- Critical illness and travel accident insurance
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