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Work Setup: WFH

Start Date: January 11, 2027

Qualifications:

  • Active PRC
  • Valid passport (at least 6 months)
  • At least 2 years of bedside experience.
  • Own equipment during review (laptop, desktop, or tablet)

Responsibilities:

  • Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.
  • Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
  • Protects the confidentiality of member information and adheres to company policies regarding confidentiality
  • Data gathering requires navigation through multiple system applications.

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