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Care Review Processor II

Company: VirtualVocations
Location: Denton
Posted on: May 3, 2025

Job Description:

A company is looking for a Care Review Processor II to support their Care Access and Monitoring team in a remote, temp-to-perm role.
Key Responsibilities

Review and process authorization requests received by phone, mail, and fax
Verify member eligibility, benefits, and provider contracting status
Communicate with providers to gather missing or additional information and maintain accurate documentation

Required Qualifications

High School Diploma or GED required
2-4 years of experience in a Utilization Review Department within a Managed Care setting
Prior experience in a hospital, healthcare billing, or clerical environment
Familiarity with medical terminology, UM, and prior authorization processes
Strong data entry skills (minimum 40 WPM) and proficiency in Microsoft Office

Keywords: VirtualVocations, Euless , Care Review Processor II, Other , Denton, Texas

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