What are the responsibilities and job description for the Clinical Reviewer position at ISite Technologies Inc?
· Assures accuracy and timeliness of all applicable review type cases within contract requirements.· Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department.· In collaboration with Supervisor, responsible for quality monitoring activities.
· Maintains current knowledge base related to review processes and clinical practices.
· Functions as providers'' liaison for customer service issues and problem resolution.
· Performs all applicable review types as workload indicates.
· Fosters positive and professional relationships with internal and external customers.
· Attends training and scheduled meetings for current/updated information.
· Cross trains to provide flexible workforce to meet client/customer needs.
· Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
· Knowledge of medical records, medical terminology, and disease processes required.
· Strong clinical assessment and critical thinking skills required.
· Excellent written and verbal communication skills required.