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  • Must be a graduate of Nursing and must have an active PHRN License or equivalent
  • Must have at least 1 year of work experience in a clinical/hospital environment
  • Up to 50,000 Sign On Bonus + 75,000 Retention Bonus for qualified candidates, terms and conditions apply
  • You will intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance, when needed.
  • You will deal with tasks relevant to Utilization Review, Utilization Management, inpatient coding, and outpatient coding.
  • You will provide our customer real time resolutions or through comprehensive and timely follow-up with the member
  • This is for Blended Account, 80% back office, 20% Voice.

Skills Requirement:

  • Professionalism Skills


  • Market Competitive Pay Levels
  • Retirement Plan
  • Medical Plan (HMO) from Day 1 of employment
  • Dental, Medical, and Optical Reimbursements
  • Life and Disability Insurance
  • Paid Time-Off Benefits
  • Sick Leave Conversion
  • Tuition Fee Reimbursement Employee Assistance Program (EAP)
  • Annual Performance Based Merit Increases
  • Employee Recognition
  • Training and Staff Development
  • Employee Referral Program
  • Employee Volunteerism Opportunity
  • All Mandatory Statutory Benefits
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