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Claims Review Nurse jobs

Viewing 1 - 10 of 14 jobs

  • Medical Director, Claims Centralized Operations

    Geina O'malley Company - Spokane, WA

    Expert on Claims and be a Clinical Resource within the Claims Centralized Operation Team. The purpose of this role ... Review Duties will include but are not limited to: medical claims payment determinations for provider disputes, liaison...

    6 days ago from TheLadders.com

  • Medical Bill Review Nurse Auditor

    York Risk Services Group - Mandeville, LA

    for this position include providing results of a through review and recommendation on the analysis of medical records ... provider-billed diagnosis Provide information based on the review of medical records compared to the treatment rendered...

    30+ days ago from York Risk Services Group Inc.

  • Claims Manager - Professional Liability - High Severity

    Portland, OR

    claim initiatives. 5. Reviews and manages investigations of claims, liability and damages, and works with senior ... or equivalent experience. Professional designations preferred. 2. Typically a minimum eight years claims...

    12 hours ago from Oregon Employment Department

  • REGISTERED NURSE- CARE MANAGEMENT-MANAGER

    Mitchell/martin - New Brunswick, NJ

    experience. Knowledge of managed care utilization review criteria and an understanding of claims and denial ... speaking clearly and distinctly in English. NJS Registered Nurse Licensure Required Please contact Mandi...

    12 days ago from Mitchell/Martin

  • Claims Manager

    Portland, OR

    claim initiatives. 5. Reviews and manages investigations of claims, liability and damages, and works with senior ... or equivalent experience. Professional designations preferred. 2. Typically a minimum eight years claims...

    14 hours ago from Oregon Employment Department

  • LVN

    Boson Health - Houston, TX

    to patients; filing, collecting, and expediting third-party claims. Maintains operations by following policies and ... Contributes to team effort by accomplishing related results as needed Saves physician/nurse practitioner’s time by helpi...

    30+ days ago from Boson Health, LLC

  • Claims Vendor Analyst

    Boston, MA

    collaborative relationships with the staff within the Claims Department and across the entire organization * ... Reviews and monitors results of the vendors utilized within Claims to determine return on investment, metrics adherence...

    30+ days ago from The RightThing

  • HEDIS RN

    US Tech Solutions - Philadelphia, PA

    OCCUPATIONAL HEALTH NURSE, REGISTERED NURSE with Case Management Worker's Compensation experience. WORK 24 HOURS PER ... REVIEW AND DIRECTION OF CUSTOMER OPEN WORKER'S COMPENSATION CLAIMS. Other duties as assigned. Nabisco Bakery12000 E.

    30+ days ago from US Tech Solutions, Inc.

  • Director Risk Management

    Leading Healthcare Company - Boston, MA

    will oversee claims management strategies, correspond with claims carriers, oversee investigations, discovery requests, ... management, patient safety, quality, healthcare, hospital, claims risk, quality improvement, claims management, risk...

    9 days ago from IvyExec

  • Medical Commercial Insurance Collector

    Lhc Group - Frederick, MD

    up on all claims from billing through final resolution. Review and prepare claims for manual and/or electronic ... claims Ability to analyze trends and resolve problematic claims issues Attention to detail and the ability to work...

    7 days ago from LHC Group, Inc.

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