Overview: Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Clinical Claims Review Nurse. • ** Candidate must be authorized to work in USA without requiring sponsorship *** • ************************************************************** • ** Location: Roseville, CA (100% Remote acceptable) • ** Duration: 3 months contract w/ possibility of extension or conversion to FTE role (dependent on performance and business needs) Notes: • 100% Remote role. • Work Hours: 8:00 AM – 4:30 PM PT. • OT not permitted. Description: • Reason for assignment: 7000k claims in backlog along with a 15% increase in claims this fiscal year. • In this role, the nurse will review clinical claims and determine whether retrospective claims should be paid according to benefits and/or policy. Qualifications: • Strong clinical judgement. • RN/LVN licensed in California. • Minimum of 2 years of experience. • Strong computer skills. • Ability to work independently with minimal supervision. Nice to haves: • Detail oriented. • Prior work history in Post Service, Prior Authorization, or Concurrent review. • Preference will be given to candidates with Post Service experience. • *********************************************************************** I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you. Satwinder “Sat” Singh Lead Technical Recruiter Company Overview: Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward. Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Applicants, with criminal histories, are considered in a manner that is consistent with local, state, and federal laws.
Amerit Consulting is a staffing and consulting firm that provides consulting, temporary staffing, direct hire, and payrolling services to healthcare and other employers.
