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Claims Review Nurse jobs

Viewing 1 - 10 of 520 jobs

  • Medical Audit Appeals Spec (RN or RHIA) (127582)

    Texas Children's Hospital - Houston, TX

    process and maintain appropriate follow-up on appealed claims. -Maintain policy & guidelines for Medical Audit and ... guidelines and insurance guidelines for medical necessity review including M&R and Interqual. Medical coding, managed...

    30+ days ago from Texas Children's Hospital

  • LVN Associate (Part-time) Instructor Pool 2014

    MiraCosta College - Oceanside, CA

    all locations. The department chairperson or designee will review applications as vacancies become available. Minimum Qualifications Any Bachelor's degree plus two years of professional experience directly related to this assignment OR Any...

    8 days ago from HigherEdJobs

  • Nurse Practitioner-Physician Assistant Job(6508)

    Wexford Health - Jacksonville, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... income with no need to look for new patients * Annual review with performance increase * 401(k) retirement saving...

    30+ days ago from Wexford Health

  • CNA - PACU (PT 8 hour Varied shft)7/9/14

    Tenet Healthcare - Fountain Valley, CA

    management, coding and billing. -Continuously review and update Conifer Health policies and procedures to meet ... Guidance, CMS Online Manual System, and Medicare Claims Processing Manual. Advanced knowledge of CMS Medicare &...

    2 days ago from Tenet Healthcare

  • Business Office Specialist PRN, North County Surgicenter - Palm Beach Gardens

    HCA Outpatient Services - Long Key, FL

    and input billing charges within the required timeline Review schedules and communicate with centralized coder for outstanding coding Submit and monitor electronic claims and follow-up as necessary Performs other duties as assigned.

    30+ days ago from HEALTHeCAREERS Network

  • Physician- Medical Review - Part-Time (232024-005)

    Concentra - Las Vegas, NV

    SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about ... claims. -Meets regularly with Concentra Physician Review Medical Director to discuss quality of care and...

    30+ days ago from Concentra

  • Licensed Practical Nurse (LPN) Primary Care

    U.S. Department of Veterans Affairs - Prescott, AZ

    Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO)]for appropriateness and ... Completed work [should need] only a general review by a registered nurse [(RN) or physician (MD/DO)] for [ ] appropriat...

    7 hours ago from U.S. Department of Veterans Affairs

  • Physician- Medical Review - Part-Time

    Concentra - Addison, TX

    Physician- Medical Review - Part-TimeTracking Code232024-005Job DescriptionMedical Review Stream by Concentra is looking ... Management Leave Act, Group health and workers compensation claims.-Meets regularly with Concentra Physician Review...

    11 days ago from Professional Diversity Network

  • LPN, Patient Aligned Care Team (PACT)

    U.S. Department of Veterans Affairs - Branson, MO

    work generally needs little review by a registered nurse for technical soundness, appropriateness and ... Professional Standards Board (a peer-review group) will review the selected candidate’s qualifications and recommend...

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

  • Registered Nurse (RN) Nurse Scientist

    U.S. Department of Veterans Affairs - Madison, WI

    documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal ... transmissions, etc. * 2-Part-Time * 0610-Nurse * Active * https://ApplicationManager.gov... * 15317-Permanent *...

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

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