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Claims Review Nurse jobs - Houston, TX

Viewing 1 - 10 of 86 jobs

  • Revenue Integrity Manager, RN

    Parallon Workforce Solutions - Houston, TX

    to ensure quality and efficiency of certain elements of claims processing and charge capture. They will also work ... with detailed account flow analysis and work standard review, especially as they relate to quality and production...

    4 days ago from Parallon Workforce Solutions

  • Nurse Auditor / Chart Review Nurse

    FSS - Houston, TX

    balanced. 3. Works with outside auditors to review claims to ensure charges were billed approprietly. GROWTH/INNOVATION ... LICENSES AND REGISTRATIONS REQUIRED Registered Nurse (RN) SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED 1.

    5 days ago from ZipRecruiter

  • RN Medical Case Mgr - Workers Compensation

    Travelers - Houston, TX

    Contact medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appr ... jurisdictions. For nurses handling Workers Compensation Claims, perform Utilization Review according to established...

    22 days ago from CareerBuilder

  • RN-Medical Auditor-Texas Childrens Healthplan

    Texas Childrens healthplan-the Center For Children and Women - Houston, TX

    Medical Auditor Responsibilities: (remainder of time) Review medical charts/records for fraud and abuse ... clinical expertise support Manage Prepayment Review que (review medical records to approve or deny) Work with providers...

    1 day ago from ZipRecruiter

  • Nurse Auditor

    E-health Jobs - Houston, TX

    must be balanced. 3. Works with outside auditors to review claims to ensure charges were billed approprietly. ... LICENSES AND REGISTRATIONS REQUIRED Registered Nurse (RN) SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED...

    22 days ago from ZipRecruiter

  • RN Case Manager

    Uam - Houston, TX

    Responsibilities: • Review activities that take place during a patients hospital stay and/ or in a home or community set ... • Review cost and/or hospital stay data to determine stop-loss attachment level status...

    10 days ago from CareerBuilder

  • Nurse Auditor

    Pcs, Inc. - Professional Career Staffing - Houston, TX

    Job Description: Nurse Auditor – Houston, TX The Nurse Auditor will have full responsibility to audit patient charts ... 3. Works with outside auditors to review claims to ensure charges were billed appropriately. GROWTH/INNOVATION...

    30+ days ago from ZipRecruiter

  • Nurse Auditor / Chart Review Nurse

    Ccs2 - Houston, TX

    balanced. 3. Works with outside auditors to review claims to ensure charges were billed approprietly. GROWTH/INNOVATION ... and chart review capacity? Ideal Candidate RN with 5+ years chart review/ auditing experience. Knows ICD-9/ revenue...

    30+ days ago from CCS2

  • 2VP, Complex Claim Liability Specialist, Oil & Gas

    Travelers Companies - Houston, TX

    for specific activities required to effectively evaluate 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 job.com

  • Business Office Specialist PRN

    HCA Healthcare - Houston, TX

    claims, etc. * Generates and processes all insurance claims. * Researches required information and maintains pending follow up on a daily/weekly basis. * Communicates daily information needed for billing. * Prints appropriate billing forms...

    1 day ago from HCA Healthcare