About this role
Clinical Review Specialist at New England Life Care. Location: Woburn or Canton or Scarborough or Concord or Massachusetts or Maine or New Hampshire. Role: reviewing clinical, determining coverage, communicating decisions Requirements: Requires Medical Assistant certification, healthcare experience, knowledge of federal/state fraud and abuse laws, managed care/utilization review experience, and competency with Microsoft Word/Outlook and computer systems. Category: Healthcare Services - Allied Health Seniority: Mid Level Tools: Microsoft Word, Microsoft Outlook, Internet Certifications: medical assistant (ma) Commitment: Full Time Workplace: Remote Languages: English