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Claims Review Nurse jobs

Viewing 1 - 10 of 87 jobs

  • Revenue Integrity Analyst, RN

    Parallon - Mason, OH

    Applies modifiers when appropriate based on this review, and/or makes necessary adjustments to patient account charges a ... and the facility ancillary department directors * Review HCA Regs Communications, applicable CMS transmittals,...

    23 days ago from CareerBuilder

  • Claims Processor I

    IASIS Healthcare - Phoenix, AZ

    Equal Opportunity Employer Minorities/Women/Veterans/Disabled The Claims Processor I adjudicates incoming claims in acco ... COB/TBL Coordinator •Refer claims for medical claim review as necessary/applicable •Identify and refer potential...

    2 days ago from IASIS Healthcare

  • Medical Claims Processor

    Advanced Resources - Rosemont, IL

    issues from internal claims staff and clients. Pends claims requiring additional information. Follows-up to ... Job Requirements: High school diploma or GED 2 years claims experience with a Network, insurance company, claims...

    12 days ago from Advanced Resources

  • Medical Claims Supervisor - Provider Customer Service

    Arizona Priority Care - Chandler, AZ

    in' customers regarding claims issues and collaborate with claims examiners and claims provider services reps to ... Claims and minimum of 5 years's experience with health care claims adjudication. High School diploma required; College...

    9 days ago from CareerBuilder

  • Claims Variance Associate

    Baptist Health South Florida - Miami, FL

    facilities. Extensive knowledge in the adjudication of claims; as well as working knowledge and understanding of: ... is essential. Extensive knowledge in the adjudication of claims; as well as working knowledge and understanding of:...

    14 days ago from CareerBuilder

  • Pension Claims Adjustor

    Managed Care Staffers - Chicago, IL

    Seeking an Experienced Temporary to Hire Full-Time Pension Claims Adjustor to Work in Chicago, Illinois For $21/hrOur cl ... benefit calculations), processing the monthly pension claims, completing the monthly check run register...

    30+ days ago from CareerBuilder

  • Customer Care Representative

    Omaha, NE

    Family Medical and Other Leaves and Long Term Disability claims. In addition, handles customer service ... intake SOPs Processes claim referrals, new claim hand-offs, nurse reviews, and member/provider complaints. Escalates...

    11 days ago from IowaJobs

  • Sr. Risk Services Consultant (Ohio)

    Sedgwick Claims Management Services - Dublin, OH

    and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our...

    2 days ago from CareerBuilder

  • UR Nurse (Cardiology)

    New Century Health - Brea, CA

    approvals and case preparation for medical review, claims review, request and review medical records. This ... preferred. Specialty certification preferred. Ability to review medical records and identify codes for claims...

    30+ days ago from CareerBuilder

  • Healthcare Collector

    Gentiva Health Services - Shawnee Mission, KS

    Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing ... Review and communicate with agencies to educate them about expectations for clean claims...

    17 hours ago from Gentiva Health Services, Inc.

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