Precertification Nurse (Remote - East coast)

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

The role of Precertification Nurse is to perform Pre-Certification determining the medical necessity of requested services for New Jersey Auto No-Fault injuries. Knowledge: New Jersey Auto PIP / No-Fault - Preferred InterQual/Review Manager/CERME CPT and ICD-9/ICD-10 diagnosis coding Medical management related to auto claims – Preferred Microsoft Office Suite programs Structure and content of the English language including the meaning and spelling of words, rules of composition and grammar