The Procurement Clerk role (located in Tracy, CA) is a full-time, Monday-Friday position. The role focuses on processing medical purchasing and billing paperwork, verifying contracted pricing, and maintaining organized spreadsheets to support supply chain and billing accuracy.
Primary Responsibilities:
...utilization management activities including prior authorization review, concurrent review, retrospective review, and appeal review... ...contractual requirements, and regulatory guidelines. Evaluates clinical information to determine medical necessity, appropriateness of...
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