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Form of workJob Description
Responsible for the approval or rejection of Medicare Advantage claims and/or benefit interpretation. Will be required to enter or reference data via PC and/or CRT terminal. Other related skills may be required to perform this job.
Top 3 Required Skills/Experience – The most important must-have skills. Include:
2. Quantified years of experience tied to specific skills/experience, hard skills only (no soft skills like “team player” or “good communicator”)
1. Registered Nurse with current Michigan Registered Nurse License.
2. Associate Degree or nursing diploma required, Bachelor’s Degree in nursing preferred.
3. Exceptional verbal and written communication skills are required for this work.
Required Skills/Experience – The rest of the required skills/experience. Include:
3. Skills/experience ordered from most important (first) to least important (last)
4. Hard and soft skills
5. No more than 10-12 total.
1. Registered Nurse with current Michigan Registered Nurse License.
2. Associate Degree or nursing diploma required, Bachelor’s Degree preferred.
3. Two (2) years RN patient care experience Triage, case management and/or rehabilitation experience preferred.
4. Expertise in the use of medical terminology.
5. Finely honed critical thinking skills are a must.
6. Exceptional verbal and written communication skills are required for this work.
Preferred Skills/Experience – Optional but preferred skills/experience. Include:
• Skills/experience ordered from most important (first) to least important (last)
• No more than 4-5 total
1. Knowledge of CPT/HCPCS coding and Medicare regulations desirable
Education/Certifications – Include:
1. Registered Nurse with current Michigan Registered Nurse License is required.
- 2. Associate Degree or nursing diploma required, Bachelor’s Degree in nursing is preferred.`
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How is Epitec different?
Epitec gets to know our prospective employees, using these insights to locate the perfect placement for you. We are there, every step of the way. Providing a best-in-class compensation package combined with the opportunity to grow financially and personally through your work.
What is the result?
Epitec represents the world’s top companies and works to fill their open jobs with the world’s best talent. That’s led to Epitec servicing an impressive list of Fortune 100 companies. We've also won many awards, including one of Crain’s Detroit Business “Cool Places to Work,” and 101 Best & Brightest – local, national and elite winner. And that’s just the beginning, as we work to innovate the way the world thinks about employment.
