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Claims Review Nurse jobs

Viewing 1 - 10 of 11,038 jobs

  • Surveillance Utilization Review Manager

    Xerox - Anchorage, AK

    potentially fraudulent or abusive Alaska Medicaid claims. Utilizing a combination of technological platforms, ... issues, system configuration and pricing errors. Reviews claims processor errors (manual or system processed), and...

    20 days ago from Xerox

  • Claim DRG Readmission Review RN - Telecommute opportunity

    UnitedHealth Group - Las Vegas, NV

    for medical necessity. * Assist with other Medical Claims review questions, as needed. * Seeks input from ... review, Las Vegas, NV, Nevada, United Health Group, concurrent review, medical claim review, telecommute, work from...

    14 days ago from UnitedHealth Group

  • RN Clinical Claims Review - Work from Home anywhere in the US

    UnitedHealth Group - Phoenix, AZ

    Managed care experience is strongly preferred * Utilization review and/or case management experience is preferred * BSN ... to random drug testing. Keywords: RN, Claims Review, Claims, Clinical claims review; Phoenix, AZ, Minneapolis,...

    12 days ago from UnitedHealth Group

  • CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT

    Tenet Healthcare - Lakewood, CA

    Implements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and insures that ... experience * Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred *...

    30+ days ago from Tenet Healthcare

  • CLINICAL CLAIMS REVIEW NURSE COAST HEALTHCARE MANAGEMENT

    Tenet Health - Lakewood, CA

    Description : Implements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and ... experience Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred...

    13 days ago from nurse.com

  • Registered Nurse (RN) Medical Bill Review

    Healthcare Scouts - Fort Worth, TX

    and skill set? This Registered Nurse (RN) Medical Bill Review position in Fort Worth, TX is the right opportunity ... growth. As a Registered Nurse (RN) Medical Bill Review you will be able to control the cost of claims and...

    30+ days ago from HealthCare Scouts

  • Medical Services Reviewer(272422)

    Kaiser Permanente - Aurora, CO

    hospital and technical service billings. Reviews medical claims for appropriateness of care and medical necessity. ... UM, bill auditing, chart reviews, claims, managed care, provider/member relations, contracting. 3 years experience in...

    30+ days ago from Kaiser Permanente

  • Account Claims Representative I - Workers Compensation

    PMA Companies - De Witt, NY

    to clients, including face to face interactions during claims reviews, stewardship meetings and similar ... experience handling lost time workers compensation claims required; past experience with New York jurisdiction...

    30+ days ago from PMA Companies

  • MEDICAL RECORD CASE REVIEW SPECIALIST

    Ces - Henrico, VA

    MEDICAL RECORD CASE REVIEW SPECIALAIST General Description: The Medical Record Case Review Specialist that have ... Abilities: Previous experience with the review of medical claims and medical record requests. Previous utilization...

    4 days ago from CES, LLC

  • RN, Clinical Claims Review

    Healthcare Partners - Torrance, CA

    RN, Clinical Claims Review Req: 12654 Department: IMCS Claims Schedule: Full Time Shift: Days Hours: Monday 7:00 a.m. to ... seeking aRN, Clinical Claims Review: Responsiblefor review, research and complete retrospective clinical claims...

    4 days ago from IHispano

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