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Claims Review Nurse jobs

Viewing 1 - 10 of 1,095 jobs

  • Registered Nurse, Recovery Coordinator I

    Express Services - Utica, NY

    Determines whether the medical record documentation supports the coding billed and/or claims paid correctly using variou ... and all coding methodologies Knowledge of authorization and claims processing systems Knowledge of subscriber and...

    16 days ago from HealthJobsNationwide.com

  • Registered Nurse-Nursing Supervisor Medical VA Care Line

    U.S. Department of Veterans Affairs - Buffalo, NY

    Reference: VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD http://www1.va.gov.. ... information regarding performance based interviews, please review the following website(s) on the intranet: http:...

    8 days ago from U.S. Department of Veterans Affairs

  • Registered Nurse

    Wexford - Salem, WV

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... to offer a competitive benefits package including: Annual review with performance increase Generous paid-time off...

    27 days ago from Wexford Health

  • Nurse Aide Instructor (Temp PT)

    Community College of Allegheny County - Pittsburgh, PA

    s may be addressed to diversity@ccac.edu. College conforms to all applicable federal, state, and local laws and regulations relating to equal employment. Keywords: Vocational Education, Nurse Aide Instructor (Temp PT), Vision of diversity...

    13 days ago from ScholarlyHires.com

  • RN-Risk Manager

    U.S. Department of Veterans Affairs - Augusta, GA

    of Peer Reviews · Process Tort Claims · Reporting process for State Licensure and National Practitioner Data ... 5005, Part II, Appendix G6, Nurse Qualification Standards http://vaww1.va.gov... (1) U.S. citizenship.

    16 days ago from U.S. Department of Veterans Affairs

  • SNF Medicare Collector/Appeal Analyst

    Genesis Heath Care - Foothill Ranch, CA

    work load to ensure that appeals are submitted timely. Review Denials and file submission of an appeal. File all ... report collection trends and/or issues resulting in delayed claims processing. Assist with monthly and quarterly reports...

    10 days ago from ZipRecruiter

  • Registered Nurse (RN) - Disability Claims Reviewer

    Prudential Financial - Dresher, PA

    medical evaluation of complex illness and injury claims for assessment and/or identification of restrictions ... eligibility of benefits for waiver of premium/disability claims on life insurance policies. Communicates results of...

    30+ days ago from Prudential Financial, Inc.

  • Medical Review Team Lead / Sr. Lead Claims Review Analyst

    NCI - Nashville, TN

    Team Lead / Sr. Lead Claims Review Analyst ( Medical Review IV ) at AdvanceMed, you will review and analyze ... as a resource for Lead Claims Review Analysts (Medical Review Specialist) for complex medical review issues. *...

    16 days ago from NCI

  • Clinical Claims Reviewer

    Blue Cross Blue Shield of Arizona Advantage - Phoenix, AZ

    Performs claims review on a prospective and retrospective basis to ensure that provider billings are accurate, ... in retrospective review related to authorization and claims. Collaborate with Network Management and Case...

    21 days ago from Blue Cross Blue Shield of Arizona Advantage

  • Medical Review Team Lead / Sr. Lead Claims Review Analyst

    NCI Information Systems - Nashville, TN

    a 2015 Military Friendly® Employer NCI: As the Medical Review Team Lead / Sr. Lead Claims Review Analyst ( Medical ... as a resource for Lead Claims Review Analysts (Medical Review Specialist) for complex medical review issues.

    24 days ago from NCI Information Systems, Inc.