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Claims Review Nurse jobs - Atlanta, GA

Viewing 1 - 10 of 112 jobs

  • Nurse Practitioner - Claims and Pensions

    U.S. Department of Veterans Affairs - East Point, GA

    Appraisal 5) VA Form 10-2850a - Application for Nurse and Nurse Anesthetist legal signature) ... * 1-Full-Time * 0610-Nurse * Active *

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

  • 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

    Refers the patient to the home care review team and/or social workers as appropriate ... care coordinators, referral coordinators, Member Services, Claims, Contracts and Benefits-Appeals, Risk Management and...

    5 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.

  • Senior Clinical Appeals Reviewer - US Telecommute

    UnitedHealth Group - Atlanta, GA

    Therapist, etc. (Positions responsible for claims appeals can be found in the Claims job family.) Requirements Required Qualifications: * High School Diploma/GED. * 2+ years of Telephonic Customer Service experience. * 2+ years of...

    13 days ago from UnitedHealth Group

  • Specialty Claims Nurse-Sr

    Hcc - Kennesaw, GA

    Relying on experience and judgment, the Specialty Claims Nurse is responsible for accomplishing the following ... • Gather in-depth information from sources (physician, providers, U/R vendors, claims and medical records) about an indi...

    15 days ago from HCC

  • 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 ... peer review or quality issues to QAIR & Risk Mgmt. Document Review Activities according to documentation guidelines.

    5 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...

    12 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...

    14 days ago from The Travelers Indemnity Company

  • Workers Comp Claim Supervisor

    Chubb - Atlanta, GA

    (Special Investigative Unit, Telephonic Case Manager and Nurse Consultant) in compliance with Best Practices ... * 5 - 7+ years of claim handling required; preferably complex workers compensation claims. Requisition #:...

    15 days ago from

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