Review Assistant QOC/IA (Part-time, fully remote)Are you an experienced Review Assistant looking for a new challenge?Do you value care management and quality improvement?Are you motivated, energetic, and excited to become part of the Kepro team?If so, you might be our next new team member!Who we need:The Review Assistant prepares medical records for clinical review to streamline the review process. Maintains working knowledge of internal policies, procedures and services (both departmental and operational.) Ensures productivity and quality standards are met for required contract deliverables. Prepares all related documents, mailings and reports to meet requirements for eligibility, services and hearings.Why us?Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. People Focused. Mission Driven. Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise. We do this through our people.At Kepro, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career.Benefits are a key component of your rewards package at Kepro. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more. What you’ll do:Reviews patient records and compares against submission requirements to determine if all required information is present for the case. Identifies cases where additional non-clinical information is needed.Process and document medical record requests and other documents for clinical reviewAccurate and timely submission of all administrative related documents to appropriate parties.Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for case preparation.Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, adherence to HIPAA polices.Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following KEPRO’s policies, procedures and guidelinesCross-trains to perform duties of other contracts within the KEPRO network to provide a flexible workforce to meet client/consumer needs.RequirementsAssociate’s Degree and/or equivalent work experiences related to medical, behavioral, or social/support settings.Knowledge of general review of records, claims or requests in a healthcare related field.Knowledge the organization of medical records, medical terminology, disease process.Medical terminology and/or claims experience helpful.Working knowledge of software with healthcare or insurance application.Ability to work in a team environment.Ability to interpret complex documentation.Ability to organize and present case information clearly and accurately.Ability to work in a fast paced environment.Excellent verbal and written communication skills essential.Computer skills required with MS Word and Outlook and proprietary software.Strong critical thinking skills necessary.Flexibility and good organizational skills needed.1-2 years of experience in administrative or records management.QI/Utilization review experience helpful.Thank You!We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Kepro and invite you to apply to future openings that may be of interest. Best of luck in your search!~ The Kepro Talent Acquisition TeamMental and Physical RequirementsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state. EOE AA M/F/Vet/DisabilityKepro is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Employment Type: OTHER UNKNOWN