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Review Assistant - Healthcare in Tampa, FL at KEPRO

Date Posted: 7/17/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Tampa, FL
  • Job Type:
  • Experience:
    1 to 2 years
  • Date Posted:
    7/17/2018

Job Description

KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 1 billion people receive the right care, at the right time, in the right setting.  KEPRO has an immediate opening for the following excellent career opportunity at our Tampa, FL location.



Review Assistant


Prepares prior authorization cases for clinical review in order to streamline the review process. Maintains working knowledge of internal policies, procedures and services (both departmental and operational.) Ensures productivity and quality standards are met for required contract deliverables.


•Reviews patient records and compares against submission requirements to determine if all required information is present for the case. Identifies cases where additional non-clinical information is needed.

•Process and document case discharges.

•Accurate and timely submission of all administrative related documents to appropriate parties.

•Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.

•Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for case preparation.

•Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, adherence to HIPAA polices.  

•Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following KEPRO’s policies, procedures and guidelines.

•Cross-trains to perform duties of other contracts within the KEPRO network to provide a flexible workforce to meet client/consumer needs.



QUALIFICATIONS


•High school diploma or GED required. 

•1-2 years of experience in administrative or records management.

•Medical terminology and/or transcription certification or coursework strongly preferred.

•Knowledge of general review of records, claims or requests in a healthcare related field.  

•Knowledge the organization of medical records, medical terminology, disease process.

•PC software with healthcare or insurance application

•Ability to work in a team environment.  

•Ability to interpret complex documentation.

•Ability to organize and present case information clearly and accurately.

•Ability to work in a fast paced environment

•Excellent verbal and written communication skills essential.

•Computer skills required with MS Word and Outlook and proprietary software.

•Strong critical thinking skills necessary.

•Flexibility and good organizational skills needed.  

KEPRO offers challenging careers, excellent benefits and opportunities for advancement.  For consideration, please submit resume and cover letter with salary requirements. Only those candidates identified for an interview will be contacted. No Phone Calls Please.  Visit our website at www.kepro.com for more information on the KEPRO Family of Companies.  

EOE AA M/F/Vet/Disability

KEPRO is an E-Verify employer. E-Verify is an internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States.



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