What is a case reviewer and how to become one

Key steps to become a case reviewer

1. Explore case reviewer education requirements

   Most common case reviewer degrees

   Bachelor's

   60.9 %

   Associate

   14.0 %

   Master's

   11.1 %

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2. Start to develop specific case reviewer skills

   Skills	Percentages
   Background Investigations	19.97%
   Due Dates	11.31%
   National Security	9.29%
   Social Work	8.18%
   Foster Care	6.72%

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3. Complete relevant case reviewer training and internships

   Accountants spend an average of 1-3 months on post-employment, on-the-job training. New case reviewers learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a case reviewer based on U.S. Bureau of Labor Statistics data and data from real case reviewer resumes.

4. Research case reviewer duties and responsibilities

   • Manage afive person team responsible for covering scope, assigning, analysis and then final review ofInvestigation ROI.
   • Require a broad and comprehensive knowledge of Medicaid policies, code references, and compliance.
   • Provide education to physicians/office staff on aspects of HEDIS medical record documentation, compliance, and regulatory criteria.
   • Participate in meetings with inter agencies and other entities as appropriate to facilitate and enhance the Medicaid eligibility determination process.

5. Prepare your case reviewer resume

   When your background is strong enough, you can start writing your case reviewer resume.

   You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a case reviewer resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

   Choose from 10+ customizable case reviewer resume templates

   Build a professional case reviewer resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your case reviewer resume.
   

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6. Apply for case reviewer jobs

   Now it's time to start searching for a case reviewer job. Consider the tips below for a successful job search:

   1. Browse job boards for relevant postings
   2. Consult your professional network
   3. Reach out to companies you're interested in working for directly
   4. Watch out for job scams