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Claims Review Nurse jobs - Atlanta, GA

Viewing 1 - 10 of 138 jobs

  • Lead Medicare Claims Reviewer (RN)

    Catapult Consultants - Atlanta, GA

    Abilities Required: , , • While performing the duties of this job the employee is regularly required to sit and use hands to finger, handle, or feel while typing at a computer keyboard. • The employee is occasionally required to stand,...

    30+ days ago from Catapult Consultants, LLC

  • PRN RN, Targeted Review - 25-29 hours(298139)

    Kaiser Permanente - Atlanta, GA

    admissions. The activities will include telephonic review for medical necessity of the RN designated targeted ... • Refers the patient to the home care review team and/or social workers as appropriate...

    12 days ago from Kaiser Permanente

  • RN Clinical Reviewer

    Myers and Stauffer, Lc - Atlanta, GA

    Clinical Reviewer will independently review/audit various claims and medical records relating to Medicaid engagements. ... of clinical review experience, Utilization Management review experience, or health care claims auditing experience...

    30+ days ago from Myers and Stauffer, LC.

  • PRN RN, Specialty Care Review - 25-29 hours(298140)

    Kaiser Permanente - Atlanta, GA

    • Establishes & maintains contact w/ case manager regarding requests & review status as appropriate ... as risk mgmt, peer review or quality issues to QAIR & Risk Mgmt. • Document Review Activities according to...

    12 days ago from Kaiser Permanente

  • Auto Liability Inside Claim Professional Job

    Travelers Insurance - Alpharetta, GA

    for specific activities required to properly investigate claims such as Subro, Risk Control, nurse consultants, and ... service skills. Demonstrated knowledge and ability in claims handling. Advanced level knowledge and skill in claims...

    30+ days ago from Travelers Insurance

  • Auto Liability Inside Claim Professional

    Travelers Indemnity Company - Alpharetta, GA

    for specific activities required to properly investigate claims such as Subro, Risk Control, nurse consultants, and ... claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal...

    30+ days ago from The Travelers Indemnity Company

  • Disability Specialist

    Sedgwick Claims Management Services - Atlanta, GA

    efforts and to thoroughly review contested claims; to evaluate and arrange appropriate referral of claims ... appropriateness; provides thorough review of contested claims. * Evaluates and arranges appropriate referral of claims...

    30+ days ago from Sedgwick Claims Management Services, Inc.

  • Registration Coordinator- Egleston- PRN

    Childrens Healthcare of Atlanta - Atlanta, GA

    communicates with patients, families, physicians, quality review, clinical staff and insurance companies to obtain ... accounts. Collaborates with Appeals department to overturn claims denial. Provides other registration, clerical and...

    20 days ago from Childrens Healthcare of Atlanta

  • HEDIS ABSTRACTOR - NURSE

    Judge Group - Atlanta, GA

    following responsibilities: * Perform research on internal claims systems. * Reviews require data analysis and research ... a specific data base. * If necessary the medical record review is conducted on site in provider office or hospital...

    30+ days ago from Judge Group

  • Remote Coder Opportunities- PRN (GA Residents Only)

    Piedmont Healthcare - Atlanta, GA

    information, as appropriate. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff...

    30+ days ago from Piedmont Healthcare

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