New York, New York, United States · On-site
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As a leader in payment integrity solutions, we provide DRG Validation, Cost Outlier, and Readmission…
Skills: Customer Service, Medical Record Retrieval, HIPAA Compliance, Conflict De-escalation, Healthcare Administration
New York, New York, United States · On-site
Position Summary At MedReview, our mission is to bring accuracy, accountability and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Out…
Skills: Data Entry, Medical Records Processing, HIPAA Compliance, Typing, Healthcare Terminology
New York, New York, United States · Remote Solely
$85k–$90k/yr
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. We are a leading authority in payment integrity solutions, including DRG Validation, Cost Outlier, a…
Skills: DRG Validation, ICD-10-CM/PCS Coding, Inpatient Claims Review, Medical Auditing, Payment Integrity
New York, New York, United States · On-site
Position Summary: As a Licensed Master Social Worker at MedReview you will be responsible for conducting policy and procedure manual review, pre-opening licensure, re-licensure surveys and associated tasks for Licensed H…
Skills: Policy Review, Compliance Auditing, Case Management, Technical Writing, Critical Thinking
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The representative handles customer inquiries via phone and email, researches issues, and coordinates with internal departments for resolution. They are also responsible for requesting medical records from providers and maintaining accurate documentation in compliance with HIPAA.
A high school diploma is required, with previous experience handling medical records and knowledge of HIPAA regulations. Proficiency in Microsoft Office and experience in healthcare administration or call centers is preferred.
MedReview Inc. helps payers identify inaccurate medical claims to save millions in overpayments.
MedReview is a different type of payment integrity company. As a physician-led organization, our doctors review and document every claim we reassign, resulting in the highest savings per review and the lowest appeal overturn rate in the industry. Our advanced algorithms are enriched by machine learning and decades of clinical and claims data, enabling us to target claims with the highest potential for inaccuracy and abuse. With a passion for ensuring claims fairly represent the care provided, MedReview offers pre- and post-pay billing audits with clinical reviews that save millions of dollars a year for our clients. Our full range of services include industry-leading solutions in payment integrity, utilization management and quality assurance.
Offices: 1 Seaport Plaza, 199 Water Street, 27th Floor, New York, New York 10038, US
MedReview Inc. helps payers identify inaccurate medical claims to save millions in overpayments.
MedReview is a different type of payment integrity company. As a physician-led organization, our doctors review and document every claim we reassign, resulting in the highest savings per review and the lowest appeal overturn rate in the industry. Our advanced algorithms are enriched by machine learning and decades of clinical and claims data, enabling us to target claims with the highest potential for inaccuracy and abuse. With a passion for ensuring claims fairly represent the care provided, MedReview offers pre- and post-pay billing audits with clinical reviews that save millions of dollars a year for our clients. Our full range of services include industry-leading solutions in payment integrity, utilization management and quality assurance.
Offices: 1 Seaport Plaza, 199 Water Street, 27th Floor, New York, New York 10038, US
