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Claims Review Nurse jobs

Viewing 1 - 10 of 3,503 jobs

  • Case Review Nurse/Clinical Coordinator

    Aerotek Scientific - Rockford, IL

    Review Coordinator - Full Time Days Responsibilities: Case review of patients insurance claims that are in dispute. ... This is a great opportunity for a Nurse to transition into a Case Review/Case Manager career Qualifications: RN or BSN i...

    8 days ago from Aerotek Scientific

  • Registered Nurse Clinical Documentation Reviewer

    HCA Healthcare - Overland Park, KS

    is to create consistency and efficiency in inpatient claims processing and data collection to optimize DRG ... Qualifications Education: Registered Nurse, Bachelor’s preferred Licensure/Certifications: Current Kansas Nursing Licens...

    3 days ago from HCA Healthcare

  • Claims Investigator (Work from Home)

    HCA Healthcare - Houston, TX

    internet searches (required) * Experience with STARS claims information system (desired) * Working knowledge of ... (required) * Ability to prioritize, handle multiple claims with due dates and time management...

    3 days ago from HCA Healthcare

  • Claim Rep Auto Liability

    Travelers - Middleboro, MA

    for specific activities required to properly investigate claims such as Subro, Risk Control, nurse consultants, and ... claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal...

    5 days ago from CareerBuilder

  • Claim Rep Specialty Liability Construction Defect

    Travelers - Walnut Creek, CA

    for specific activities required to properly investigate claims such as Subro, Risk Control, nurse consultants, and ... claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal...

    6 days ago from CareerBuilder

  • Hospital Billing Review Clinician (RN)

    Talentrust - Lakewood, CO

    with advanced technology to conduct a line-by-line review of hospital and out-patient facility claims, ... of the claim review process including medical record review, clinical claim review and a broad knowledge of...

    4 days ago from ZipRecruiter

  • Utilization Review Nurse

    Zagaruyka&associates - Dallas, TX

    to the UM staff including consultation and support to nurse reviewers - Evaluates outcomes as a result of utilizing health status surveys with patients as well as through satisfaction questionnaires - Participates in interrater reliability...

    5 days ago from ZipRecruiter

  • Medical Director – Claims Review

    Nexus Healthcare - Bend, OR

    Evaluates authorization requests in timely support of nurse reviewers and manages the denial process. Reviews ... and continuity of care. Conducts retrospective reviews of claims and appeals, and resolves grievances related to...

    10 days ago from ZipRecruiter

  • Utilization Review Nurse

    Trn - Hanover, MA

    Pharmacy, Radiology/Imaging, Nurse/Nurse Management, Nurse Practitioner/Physician Assistant, Hospice/Home ... search. Job Description: Description The Utilization Review RN is responsible for collaborating with healthcare...

    11 days ago from ZipRecruiter

  • Lead Claims Review Analyst

    Alps Services - Detroit, MI

    Minimum of 2 years utilization/quality assurance review and ICD-9-CM/CPT coding experience ... and experience in the analysis and processing of Medicare claims, utilization review/quality assurance procedures,...

    21 hours ago from ZipRecruiter

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