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Kforce Clinical Review Specialist in Arlington, Texas

Kforce has a client in search of a Clinical Review Specialist in Arlington, Texas (TX).Essential Functions:

  • Review data from different sources (Careconnect/Trace/Protocol) to determine the course of action for managing orders

  • Review patient exam history/date for indications-consideration of patient age/history/family history/results from last exam, or most recent symptoms

  • Review order to identify any exceptions for using order more than one time (e.g. orders for repeat studies or SDOstanding delegate order) or need for contingency exam is necessary

  • Perform Medessary checks for medical necessity for all patients with Medicare as a payor; Perform necessary documentation steps with PixCert and CareConnect

  • Documentation on Appointment if scheduled/Update Tracker Field

  • 2 years of experience

  • Strong attention to detail

  • Strong communication skills

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:HoursMinimum Compensation:0.00Maximum Compensation:0.00