Role and Responsibilities: * Create the new case in the case management software, as applicable. * Create various required letters based on service type and determines the date to be scheduled for review by the PR. * As applicable to the HCR service type, assist the CNR in obtaining additional information as requested from the client. Upon receipt of the additional information needed, notifies the CNR the additional information has been obtained. * Maintain communication, including but not limited to any delays in service, with the referring party as required for the service type being performed. * When scheduling a case, select the appropriate PR to complete the service type, using the following selection criteria: * Availability to requested timeframe * Pricing relative to client pricing thresholds * Maintain communication with the PR (as applicable) during the review process to ensure timely and accurate delivery of the review service being completed. * Maintain policy and process requirements for all service types, including the submission of all required correspondence and documentation consistent with state and/or client requirements. * Accurately and consistently document all required case activities in the case management software. * Once QA is complete, finalizes the report and delivers it to the appropriate parties. * Accurately inputs PR cost and client charge for invoicing/payment by the Accounting Department. * Seeks the advice of the CNR and/or direct supervisor, as needed, when performing assigned duties. * Protects confidential patient information in compliance with the corporate confidentiality policies. * Other duties as assigned. Required Qualifications and Education: * High School diploma or GED * A minimum of two (2) years related experience Beacon Hill is an Equal Opportunity Employer that values the strength diversity brings to the workplace. Individuals with Disabilities and Protected Veterans are encouraged to apply. If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/ Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records. Company Profile: Beacon Hill Technologies, a premier National Information Technology Staffing Group, provides world class technology talent across all industries utilizing a complete suite of staffing services. Beacon Hill Technologies' dedicated team of recruiting and staffing experts consistently delivers quality IT professionals to solve our customers' technical and business needs. Beacon Hill Technologies covers a broad spectrum of IT positions, including Project Management and Business Analysis, Programming/Development, Database, Infrastructure, Quality Assurance, Production/Support and ERP roles. Learn more about Beacon Hill Staffing Group and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.beaconhillstaffing.com . We look forward to working with you. Beacon Hill. Employing the Future™
