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Claims Review Nurse jobs

Viewing 1 - 10 of 71 jobs

  • Utilization Review Nurse (Oncology)

    New Century Health - Brea, CA

    approvals and case preparation for medical review, claims review, request and review medical records. This ... Ability to review medical records and identify codes for claims processing preferred. Oncology and/or cardiology...

    30+ days ago from CareerBuilder

  • Medical Review Specialist

    Kelly Services - Fargo, ND

    Review Specialist are to sort claims/documents for a nurse to review in order to determine if the company should ... The claims documents are processed in proprietary software and tracked using MS Word and Excel...

    9 days ago from CareerBuilder

  • Medicare Claims Examiner - AZPC is growing!!

    Arizona Priority Care Plus - Chandler, AZ

    Processing of paper/scanned and EDI claims by reviewing and inputting data into the claims payment system using standard ... Correcting of errors given by the claims auditor. Forward claims to appropriate departments for Med Review,...

    9 days ago from CareerBuilder

  • CLAIMS REPRESENTATIVE

    Zenith Insurance Company - San Diego, CA

    May perform specialized evaluation of Medical Only claims where judgment, accuracy of interpretation and ... such as filing, sorting, payment posting, and batching. Review medical reports, treatment requests and managing...

    7 days ago from CareerBuilder

  • Registered Nurse - RN

    Healthcare Support Staffing - Sacramento, CA

    Job Title: Registered Nurse -Medical Review Nurse/ Utilization ManagementPosition Summary of RN Utilization Review: Are ... RN/ Utilization Review will be to perform retrospective review of large hospital and physical claims-admission...

    9 days ago from CareerBuilder

  • Revenue Integrity Analyst- RN

    Parallon Business Solutions - Cincinnati, OH

    Applies modifiers when appropriate based on this review, and/or makes necessary adjustments to patient account charges a ... for specialized billing requirements that require a review of the medical record documentation, regulatory...

    17 hours ago from CareerBuilder

  • RI Analyst EFL LPN/RN - Work From Home

    Parallon - Largo, FL

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

    17 hours ago from CareerBuilder

  • Skilled Nursing Biller

    Lincolnwood, IL

    of cash posting and reconciliation, and insurance claims adjustments. Must be able to handle 400+ beds Education:    High School Diploma or GED requiredExperience:   5 Years SNF Billing requiredTeam PlayerStrong verbal and written...

    30+ days ago from CareerBuilder

  • Billing Specialist - (PRN)

    Parallon - Nashville, TN

    Processes claims electronically to insurance carriers. Mails claims to carriers when required. Works all billing vendor ... basis. This applies to all untransmitted pending claims. * Communicates daily information needed for billing...

    30+ days ago from CareerBuilder

  • Billing Specialist - (PRN)

    Parallon Business Solutions - Nashville, TN

    Job: Admitting Registration Clerical & Scheduling Processes claims electronically to insurance carriers. Mails claims to ... basis. This applies to all untransmitted pending claims. * Communicates daily information needed for billing...

    30+ days ago from CareerBuilder

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