Elevance Health

Reviewer - Therapy Services

Elevance Health

St. Louis, MO, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

At Elevance Health, we are seeking an experienced and compassionate Reviewer to join our Therapy Services team. As a Reviewer, you will be responsible for assessing medical records to ensure that they are medically necessary and in compliance with all applicable policies and regulations.We are looking for someone with excellent communication and organizational skills, as well as the ability to work independently and as part of a team. The ideal candidate will have a strong understanding of medical terminology and requirements, as well as experience with medical records. Additionally, you should have an understanding of the regulations and guidelines applicable to therapy services.If you are passionate about providing high-quality medical care and are a self-starter, we would love to hear from you.

Responsibilities:

  1. Review medical records to ensure compliance with applicable policies and regulations.
  2. Ensure medical records are medically necessary.
  3. Maintain a strong understanding of medical terminology and requirements.
  4. Have an understanding of regulations and guidelines applicable to therapy services.
  5. Possess excellent communication and organizational skills.
  6. Work independently and as part of a team.
  7. Provide high-quality medical care.
  8. Utilize knowledge of medical records.
Where is this job?
This job is located at St. Louis, MO, USA
Job Qualifications
  • Excellent Written And Verbal Communication Skills

  • Proficiency In Microsoft Office Suite

  • Attention To Detail

  • Strong Organizational Skills

  • Understanding Of Relevant Laws And Regulations

  • Ability To Remain Objective And Impartial

  • In-Depth Knowledge Of Therapy Services

  • Experience In The Medical Field

Required Skills
  • Documentation

  • Communication

  • Negotiation

  • Reporting

  • Listening

  • Researching

  • Collaboration

  • organizing

  • Facilitation

  • Problem-Solving

  • Decision-Making

  • Interpersonal

  • Analyzing

  • Time-Management

  • Quality-Control

Soft Skills
  • Communication

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • creativity

  • Organization

  • Critical thinking

  • Teamwork

  • Adaptability

Compensation

According to JobzMall, the average salary range for a Reviewer - Therapy Services in St. Louis, MO, USA is $48,000 - $76,000 per year. This range is based on the salary data collected by JobzMall from various employers and job placement organizations. The salary range may vary depending on the specific qualifications and experience of the individual hired for the position.

Additional Information
Elevance Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedNovember 2nd, 2023
Apply BeforeMay 22nd, 2025
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About Elevance Health

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.

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