Prior approval reviewer physician. M-F 8:30am-5pm. No weekends. No nights. $152K-$207K. State pension. PSLF eligible. Up to 25 vacation days.
Join State of Illinois as a Prior Approval Reviewer (Physician) in Springfield, Illinois.
Key Responsibilities
- HFS values employees with different backgrounds, life experiences, and talents.
- HFS values employees with different backgrounds, life experiences, and talents.
Requirements
- Requires an Illinois license to practice medicine.
- A minimum of two (2) years of experience making clinical prior approval decisions including, working with complex medical data, and familiarity with medical coding such as ICD-10CM, CPT or HCPCSs.
- A minimum of two (2) years of professional experience communicating with medical providers on behalf of a payer regarding billing codes and rejection codes as well as medical terminology.
Benefits & Compensation
Work Schedule
Work with State of Illinois in Springfield, Illinois.
Qualifications
- Experience
- 2+ years of experience
Key Skills
Clinical Prior Approval DecisionsComplex Medical DataMedical CodingICD-10CMCPTHCPCSsMedical Provider CommunicationMedical TerminologyMedical Management Information SystemsMMISClinical ResearchPolicy ModificationClinical AnalysisExpert TestimonyTeam Leadership
