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Claims Review Nurse jobs

Viewing 1 - 10 of 1,371 jobs

  • 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...

    9 days ago from HCA Healthcare

  • Utilization Review Nurse

    E-health Jobs - Baltimore, MD

    Professionals accepted) Description The Utilization Review RN is responsible for collaborating with healthcare ... in interpreting appropriateness of care and accurate claims payment. -May also manage appeals for services...

    12 days ago from ACHCR

  • 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...

    1 day ago from ZipRecruiter

  • Utilization Review Nurse - Full Time - Utilization Management

    Alaska Native Tribal Health Consortium - Anchorage, AK

    review information in computer. Communicates results to claims adjusters. Enters billing information for services. ... experience Utilization Review. Certification in Utilization Review or Utilization Management is preferred. ADDITIONAL...

    3 days ago from

  • 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...

    10 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...

    12 days ago from ZipRecruiter

  • Claims Investigator

    Leading Operator of Health Care Facilities - Nashville, TN

    (required) •Experience with STARS claims information system (desired) •Working knowledge of medical and legal ... •Ability to prioritize, handle multiple claims with due dates and time management skills(required) Risk...

    23 days ago from IvyExec

  • Utilization Review Benefits Specialist

    Elements Behavioral Health - Houston, TX

    This position will require an approximate 50/50 split of time between benefit verification and utilization review ... • Ensures timely completion of appeals process, follow-up and resolution of outstanding authorization/claims...

    5 days ago from ZipRecruiter

  • Itemization Review Registered Nurse RN Administrative

    Primus Global Services - Fort Worth, TX

    REPORTS TO: Itemization Review Team Lead Supervisor GENERAL DESCRIPTION: The Professional Review Nurse provides analysis ... counts Be a team player working with other Professional Review Nurses and management supervisors in a positive team...

    13 days ago from Healthcare Job Board

  • Quality Control Review Registered Nurse RN

    Primus Global Services - Fort Worth, TX

    Responsible for ensuring and maintaining MCS Bill Review database integrity by reviewing IB line item ... Errors Maintains constant communications with the Medical Review Department regarding unusual billing practices and...

    13 days ago from Healthcare Job Board

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