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Claims Review Nurse jobs - Chicago, IL

Viewing 51 - 60 of 291 jobs

  • Medical Auditor / Claims Analyst

    Kelly Healthcare Resources - Chicago, IL

    MEDICAL AUDITOR / CLAIMS ANALYST Kelly Healthcare Resources has an urgent need to fill an exciting, contract Medical Aud ... Clerk, Medical Records Tech, Claims Specialist, Coding Claims Analyst, Coding Analyst, Coding Auditor, Medical...

    16 days ago from CareerBuilder

  • Surety Claims Specialist - Performance & Payment Bond Claims

    CNA - Chicago, IL

    performance and payment bond claims and will assist senior claims analyst/counsel on the largest and most complex ... Required: 1. Technical and product specific expertise, claims resolution skill and knowledge of surety and claims...

    19 days ago from InsuranceJobs.com

  • Medical Director

    Molina Healthcare - Oak Brook, IL

    denial process. • Reviews cases with concurrent review nurses. • Provides medical expertise for care management • ... Preferred Education: Board Certified (primary care preferred) Preferred Experience: • Peer Review, medical policy/proced...

    30+ days ago from Molina Healthcare, Inc

  • Quality Improvement Coordinator II

    Sunflower State Health Plan - Westmont, IL

    Position Purpose: Conduct review of delegated entities for compliance with quality, service performance and utilization, ... related to quality of care issues. Audit medical records, review administrative claims and analyze data and...

    30+ days ago from Sunflower State Health Plan

  • Quality Improvement Coordinator II

    Acariahealth - Westmont, IL

    Position Purpose: Conduct review of delegated entities for compliance with quality, service performance and utilization, ... related to quality of care issues. Audit medical records, review administrative claims and analyze data and...

    30+ days ago from Acariahealth

  • Quality Improvement Coordinator II

    Centene - Westmont, IL

    Position Purpose: Conduct review of delegated entities for compliance with quality, service performance and utilization, ... related to quality of care issues. Audit medical records, review administrative claims and analyze data and...

    30+ days ago from Centene

  • Medical Biller

    Kforce Inc. - Chicago, IL

    Billing Medicare, Medicaid and all 3rd Party Insurance claims. Submitting reviewed and corrected claims and ... Track and monitor claim processing and resolve outstanding claims Post all ACH payments from resident's accounts for...

    7 days ago from CareerRookie.com

  • Claim Director

    CNA Financial - Chicago, IL

    This role will directly lead and supervise 4-5 General Adjusters handle large/complex property claims in excess of %2425 ... technical and business management acumen, investigation and claims resolution skills, knowledge of insurance and claims...

    18 days ago from CNA Financial Corporation

  • Claim Director

    Continental Casualty Company - Chicago, IL

    This role will directly lead and supervise 4-5 General Adjusters handle large/complex property claims in excess of $250, ... technical and business management acumen, investigation and claims resolution skills, knowledge of insurance and claims...

    18 days ago from Continental Casualty Company

  • Medical Director

    Managed Care Company - Oak Brook, IL

    manages the denial process. Reviews cases with concurrent review nurses. Provides medical expertise for care ... Preferred Education: Board Certified (primary care preferred) Preferred Experience: Peer Review, medical policy/procedur...

    30+ days ago from IvyExec

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