Care Review Processor I | Remote | Contract

Walker Healthforce is seeking a Care Review Processor I with at least 1 year of administrative support experience, preferably in a healthcare environment supporting correspondence or clinical communications, to provide clerical, data entry, authorization processing, and administrative support for a care review team. This is a Contract opportunity.

Start Date: ASAP

Location: Remote

Approved Work Locations: AZ, FL, GA, ID, IA, KY, MI, MS, NE, NM, NY (outside greater-NYC), OH, SC, TX, UT, WA (outside greater-Seattle), WI

Hours/Schedule: Tuesday–Saturday, 10:00 PM–6:30 AM (time zone not specified)

Contract Length: 6 months

Worker Type: W2

Core Requirements:

• High School Diploma or GED required.

• At least 1 year of experience in an administrative support role, preferably within a healthcare environment supporting correspondence or clinical communications, or an equivalent combination of relevant education and experience.

• Previous experience as a Correspondence Processor at a healthcare organization.

• Strong attention to detail and ability to follow regulatory and internal requirements for letter generation.

• Strong organizational and time-management skills, with the ability to manage multiple letter queues and deadlines.

• Excellent verbal and written communication skills, ensuring accuracy, clarity, and precision in correspondence.

• Ability to research information, obtain feedback, and incorporate necessary adjustments into letters to meet quality standards.

• Ability to manage multiple tasks in a fast-paced, high-volume environment while maintaining accuracy and meeting deadlines.

• Knowledge of confidentiality requirements, applicable regulations, and compliance standards.

• Ability to collaborate effectively with team members and internal departments.

• Basic proficiency in Microsoft Office applications and the ability to learn new software systems.

We Consider It A Bonus If You Also Have:

• Experience supporting healthcare authorization requests, provider inquiries, or care review operations.

• Familiarity with healthcare terminology, clinical correspondence, and medical authorization processes.

Job Responsibilities:

• Provide telephone, clerical, and data entry support to the care review team.

• Process authorization requests and provider inquiries, including eligibility, benefits verification, and provider contracting status.

• Enter and maintain information related to diagnoses, treatment requests, and coordination of benefits determinations.

• Document hospital census information, including admissions, discharges, and billing codes.

• Respond to authorization requests received through telephone, fax, and mail within established operational timeframes.

• Contact physician offices to request missing or additional information needed for authorization processing.

• Support accurate preparation and processing of clinical correspondence while maintaining regulatory and internal compliance standards.

• Coordinate with internal departments to ensure timely and accurate processing of requests.

• Maintain confidentiality, accuracy, and quality while managing multiple tasks and deadlines.

What We Offer:

• Competitive compensation package

• Weekly pay via Direct Deposit

• Medical, Dental & Vision available

• 401k options

Why Work With Walker?

• Access to our top ranked team of recruiting and placement specialists

• Continuous, one-on-one support from a dedicated engagement manager

• Professional resume development and interview preparation

Contact our Recruiting Team today to experience the Walker Healthforce difference!

About Us:

Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment.


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