About this role
Prior Approval Reviewer (Physician) at State of Illinois. Location: Springfield, Illinois, United States. Role: reviewing approvals, analyzing data, providing testimony Requirements: Requires Illinois medical license,2+ years prior-approval clinical decision experience,MMIS experience and familiarity with ICD-10CM/CPT/HCPCS,coding and provider communication skills,ability to use state equipment and pass background check. Category: Healthcare Services - Advanced Practice Seniority: Entry Level Tools: Medical Management Information Systems (MMIS), ICD-10CM, CPT, HCPCS Certifications: illinois physician Commitment: Full Time Workplace: Onsite Languages: English