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Claims Review Nurse jobs - Des Plaines, IL

Viewing 1 - 10 of 252 jobs

  • Nurse Practitioner-Physician Assistant

    Wexford - Crest Hill, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... This is for a Nurse Practitioner/Physician Assistant at Stateville NRC, in Joliet, IL...

    9 days ago from Wexford Health

  • Corporate SNF / LTC Accounts Receivable Director

    Executive Search Solutions - Chicago, IL

    and identify areas for improvement • Review and analyze cash reports • Manage accounts receivable and related ... B billing (Compliant Part A and Part B claims) • Managed Care billing • Medicaid billing • Nursing Home Billing...

    4 days ago from PostJobFree


    Tenet Health - Westmont, IL

    Remains current on managed care QA/UR practices through the ongoing review of the appropriate journals and participation ... Specialized training in utilization review and QA practices and/or case management in a managed care setting preferred...

    3 days ago from

  • Utilization Review Nurse, RN.

    Advanced Resources - Chicago, IL

    Job Number: 430755 Utilization Review Nurse, RN. An exciting opportunity exists in Chicago, Illinois. Our client is a ... registrars, medical billing specialists, medical coders, claims processing and medical collection positions. EPIC,...

    3 days ago from Advanced Resources

  • RN Utilization Review

    Sedgwick Claims Management Services - Aurora, IL

    criteria and jurisdictional guidelines to form utilization review determinations. Pursues Physician Advisor services ... Documents all utilization review outcomes in utilization review software. Communicates and works with claim examiners...

    8 days ago from

  • Claims Adjuster

    Advanced Resources - Chicago, IL

    Qualifications: Experience paying claims within the last year Investigate and process insurance claims filed by policyho ... all actions on Manual and EDI claims Process and review claims within time limits specified Advises medical...

    5 days ago from Advanced Resources

  • Commercial Lines Agency Claims Manager

    Capstone Search Group - Chicago, IL

    Agency Claims Manager Responsibilities Majority of the claims being handled will be from healthcare clients ... Proactively manage claims. Monitor large and complex claims (typically those over $100,000). Review all new claims...

    27 days ago from Capstone Search Group

  • Claim Rep Specialty Liability - Inland Marine Transportation

    Travelers Indemnity Company - Naperville, IL

    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

  • Claims Analyst II (Health)

    PrimeSource Healthcare - Buffalo Grove, IL

    this newly created Claims Analyst II position will review claims for accuracy, completeness and eligibility and ... INCLUDE, BUT ARE NOT LIMITED TO: Processes new claims and disseminates the claims to the appropriate...

    3 days ago from StartWire

  • Claim Operations Technician

    CNA - Chicago, IL

    Reviews and reconciles reports for data or financial transactions related to claims ... processing within designated authority on medical only claims, following jurisdictional parameters. 8. May complete...

    4 hours ago from