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Clinical Reviewer

Location: Dallas Region
Category: Healthcare
Employment Type: Contract To Hire

Clinical Reviewer

Contract to Hire

Scope: Clinical Reviewer is responsible for verifying insurance and estimating the patient's financial responsibility.  The candidate will confirm pre certifications have been obtained or will obtain them if needed. Strong communication skills required and ability to work in a fast paced environment.  


  • 1+ years' insurance verification experience, preferably in a inpatient/outpatient surgical setting
  • Pre-certifications, prior authorizations, and referrals for chemotherapy treatments, injections, and radiation treatments
  • Working off of a queue, 25-30 quota per day
  • Outbound calls to insurance companies determining why requests were denied
  • Justifying treatments and documenting all communication

Key Words: Insurance Verifier, Insurance Verification, Pre-Cert Specialist, Pre-Certification Specialist, Eligibility, Front Office Specialist, Patient Reception, EOB, Patient Financial Counselor, Patient Access, Clinical Reviewer