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Case Reviewer
ISN Corporation Slippery Rock, PA

Case Reviewer

ISN Corporation
Slippery Rock, PA
  • Medical , Dental , Paid Time Off , Life Insurance , Retirement
  • Full-Time
Company Description

Headquartered in Bethesda, Maryland, ISN Corporation is a nationwide provider of specialized professional services to Federal government agencies. ISN's portfolio includes work with over 100 Federal agencies.

ISN Corporation has been awarded a place in the Washington Business Journal's list of the 50 Fastest Growing Government Contractors. ISN is also on the Business Inc. Magazine's 5000

List of Fastest Growing Private Companies for the last two years.

ISN Corporation offers many competitive benefits to its employees, including:
  • Major medical insurance with prescription coverage
  • Dental plan
  • Flexible spending
  • Short-term and long-term disability benefits at no cost to employees
  • Basic life insurance at no cost to employees
  • Retirement Plan
  • Paid leave with accrual beginning at Date of Hire


Job Description

ISN is currently seeking experienced case reviewers as a Prime vendor on PAPERPROOF. A successful candidate will demonstrate ability to review and assemble completed field reports of investigation (ROIs) for compliance with national standards and customer requirements. Review of ROIs will be done to ensure stringent quality assurance standards to include coverage and accuracy with minimal oversight and guidance. Works to deadlines and guides cases to timely closure. Specific duties may include: Communicates regularly with field staff regarding any case items/issues. May assist with quality audits. Maintains knowledge and familiarity with customer case requirements. Assists the field investigations unit in reworking deficient cases. Uses the Internet to research addresses and phone numbers. Identifies and tracks common trends for reopens and communicates trends to program team. Assists in identifying information that needs to be discussed with customer for clarification. Works closely with the program team and investigators to complete cases to client specifications and timeliness parameters. Serves as a coverage SME, providing clarification to the field staff concerning deficiency notifications. May assist with additional duties related to the core job duties as tasked.

EXPERIENCE:

Experience with PAPERPROOF or DCSA is preferred. Preferred experience would include:

Strong analytical skills, and comfortable with financial and operations analyses. Demonstrated skills in planning and organizing a project.

Qualifications

Requires proof of successful completion of a NIT approved reviewer/closer training course.

Bachelor's degree or equivalent experience minimum.

Must be detail oriented, organized, with the ability to multi-task and troubleshoot.

Must demonstrated ability to work well with others, lead effectively when needed, work independently, and manage multiple complex and time-critical activities simultaneously.

Superior written and oral communication skills.

Advanced skills in MS-Office products including MS-Word, MS-Excel, and MS-PowerPoint.

Additional Information

ISN Corporation is an Equal Opportunity Employer

ISN Corporation is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, marital status, genetic information, or any other characteristic protected by law.

ISN Corporation is a Drug-Free Workplace. Candidates are required to pass a pre-employment background investigation before beginning employment.

Address

ISN Corporation

Slippery Rock, PA
USA

Industry

Healthcare

Posted date

February 09, 2024

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ISN Corporation job posting for a Case Reviewer in Slippery Rock, PA with a salary of $32 to $51 Hourly with a map of Slippery Rock location.