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Claims Review Nurse jobs

Viewing 1 - 10 of 82 jobs

  • Legal Nurse Consultant

    Farmers Insurance Group - Phoenix, AZ

    and mediation proceeding as called upon to support claims professionals. Assists with the review of plaintiff ... Nurse license. Experience Requirements 2 years nurse consultant experience. Special Skills Requirements Strong...

    30+ days ago from Farmers Insurance

  • 684 LPN Healthcare Review

    American Cybersystems - Rochester, NY

    multiple LPNs (Medical Assistants with healthcare insurance claims background will be considered) to work day shifts (8-5) in an office environment reviewing healthcare insurance, speaking with doctor's offices. Must have solid computer...

    30+ days ago from American CyberSystems, Inc

  • Medical Review RN - Casual Employment/Flex Schedules

    NCI Advancemed - Nashville, TN

    NCI: As the Medical Review Nurse (Medical Reviewer III) for AdvanceMed, a subsidiary of NCI, you will conduct clinical ... along with analysis and processing of Medicare claims. •Utilize Medicare and Contractor guidelines for coverage...

    28 days ago from Tennessee Nurses Association

  • Medical Services Review Coordinator

    York Risk Services Group - Roseville, CA

    the reviews Interface with Ur Nurses/Medical Director and claims teams to staff cases Directs and plans the work of ... Knowledge of Utilization Review Regulations Knowledge of Claims/Utlization Computer systems Required Experience...

    5 hours ago from York Risk Services Group Inc.

  • Workers' Compensation Claims Adjuster Trainee

    National Interstate Insurance Co - Richfield, OH

    complaints. Manage a diary system to systematically review and resolve claims within the specified state guidelines. Maintain state license(s) by completing continuing education ... Claims designation and/or state licensing a plus...

    30+ days ago from National Interstate Insurance Co.

  • CS - Claims Processor - Junior

    Equity Staffing - Herndon, VA

    experience in ICD-9 CM coding**Position Description:Review and code medical records submitted by physicians, ... procedures.• Basic tasks are completed without review by others.• Supervision/guidance is required for higher...

    30+ days ago from Equity Staffing

  • Staff Nurse - Cath Lab - 14-1178699

    Department of Veterans Affairs - Mather, CA

    registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of ... For more information, please review the information for disabled Veterans in the application checklist or visit http://w...

    5 days ago from Department Of Veterans Affairs

  • RN/Manager-Charge Capture (Registered Nurse)

    Tallahassee Memorial Healthcare - Tallahassee, FL

    or a system of internal audit for healthcare billing/claims payment systems * Extensive knowledge of health ... capturing accuracy * Working knowledge of utilization review techniques used by payors * Negotiation of healthcare...

    30+ days ago from Tallahassee Memorial HealthCare

  • Nurse Coding Educator

    Premera Blue Cross - Mountlake Terrace, WA

    well as physicians. 2. Review medical records and submitted claims, summarize pertinent information and identify gaps ... coding systems that apply to medical documentation and claims. 8. Consults with Medical Directors, Provider...

    30+ days ago from Premera Blue Cross

  • Nurse Investigator

    HealthNow New York - Buffalo, NY

    fraud/abuse through comprehensive medical record and claims review of all HealthNow contracted providers. ... Required Licenses/Certifications: Current NYS Registered Nurse license required Certified Professional Coder or...

    30+ days ago from HealthNow New York Inc.

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