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Claims Review Nurse jobs - Louisville, KY

Viewing 1 - 10 of 100 jobs

  • Medical Assistant

    Maxim Staffing Solutions Cincinnati, Oh - Louisville, KY

    on specific platforms (i.e. Immunization registries, local claims system membership and defaulted claim information). ... in reviewing of medical records, applying codes for billing/claims, processing files and submitting to insurance or...

    26 days ago from ZipRecruiter

  • Nurse Reviewer NGS II - 96628

    WellPoint - Louisville, KY

    and to take your career further than you can imagine. Our*Nurse Reviewer NGS II*is responsible for reviewing and making ... M/F/Disability/Veteran./ **Job** *Medical* **Title:** *Nurse Reviewer NGS II - 96628* **Location:** *IN-Indianapolis* **...

    20 days ago from WellPoint

  • Auditor, Medical Claims

    Connolly - Louisville, KY

    fees per hour, vendor/project volume completion, claims written) ... Supplier Disputes. Respond to client/Supplier disputes for claims written. Provide verification of claims validation...

    28 days ago from CareerBuilder

  • Nurse Practitioner -(Program Director - Home Based Primary Care) GEC

    U.S. Department of Veterans Affairs - Louisville, KY

    or the District of Columbia. * Nurse Practitioners. A nurse practitioner must be licensed or otherwise recognized ... Questionnaire; * VA-Form 10-2850a – Application for Nurse and Nurse Anesthetist (Available at http://www.va.gov...

    15 hours ago from U.S. Department of Veterans Affairs

  • Nurse Medical Management Lead - $3000 SIGN ON BONUS!!! - 95382

    AMERIGROUP - Louisville, KY

    in interpreting appropriateness of care and accurate claims payment. * May also manage appeals for services denied. * Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to...

    3 days ago from Amerigroup

  • RN/LPN Clinical Audit Analyst (Oncology background)

    Humana - Louisville, KY

    Records to perform clinical audits, research and review CMS, Medicare,and Commercial regulations and provide ... 3-5 years medical surgery, surgery, critical care Claims Coding knowledge Comprehensive knowledge of Microsoft Word,...

    30+ days ago from Humana

  • Registered Nurse - Surgery Clinic

    Federal Government Jobs - Louisville, KY

    Reference: VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD http://www1.va.gov.. ... VA-Form 10-2850c – Application for Nurse and Nurse Anesthetist (Available at http://www.va.gov... (required).

    10 days ago from afro

  • Nurse Medical Management Lead - $3000 SIGN ON BONUS!!!

    WellPoint - Louisville, KY

    in interpreting appropriateness of care and accurate claims payment. * May also manage appeals for services denied. * Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to...

    3 days ago from WellPoint, Inc

  • Legal Nurse Consultant

    Frost Brown Todd - Louisville, KY

    and analyzing large volumes of medical records; evaluating claims that nurses and other clinical providers breached ... Nurse with 2+ years or more of experience in Legal Nurse consulting with experience and expertise in the Long...

    9 days ago from CareerBuilder

  • Certified Registered Nurse Anesthetist

    U.S. Department of Veterans Affairs - Louisville, KY

    Registered Nurse Anesthetist (CRNA) is an advanced practice nurse who utilizes specialized education and clinical ... * VA-Form 10-2850c – Application for Nurse and Nurse Anesthetist (Available at http://www.va.gov... (required).

    15 hours ago from U.S. Department of Veterans Affairs

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