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Claims Review Nurse jobs - Nashville, TN

Viewing 1 - 10 of 168 jobs

  • Medical Claim Reviewer Senior Associate

    Medix - Nashville, TN

    medical interpretation and decisions on identified health claims based on contractual benefits and medical ... and develops recommendations for resolution of questionable claims requiring further professional or committee review.

    22 days ago from MiracleWorkers.com

  • Lead Medicare Claims Reviewer (RN)

    Catapult Consultants - Nashville, TN

    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

  • Medical Review Nurse

    NCI - Nashville, TN

    * Review information contained in Standard Claims Processing System files (e.g., claims history, ... analysis and processing of Medicare claims, utilization review/quality assurance procedures, ICD-9/10-CM and CPT-4...

    24 days ago from NCI

  • Medical Review Nurse

    NCI Information Systems - Nashville, TN

    Responsibilities: Review information contained in Standard Claims Processing System files (e.g., claims history, ... analysis and processing of Medicare claims, utilization review/quality assurance procedures, ICD-9/10-CM and CPT-4...

    23 days ago from NCI Information Systems, Inc.

  • Medicare Medical Reviewer - Occupational Therapist - Casual Employment

    NCI - Nashville, TN

    * At least 2 years utilization/quality assurance review and coding experience in ICD-9/10-CM, CPT, DRG, and payment meth ... DRG, SNF, HH, CMG) * Advanced Knowledge of utilization review/ quality assurance procedures * Knowledge of, and the abil...

    30+ days ago from NCI

  • Medicare Medical Reviewer - Occupational Therapist - Casual Employment

    NCI Information Systems - Nashville, TN

    At least 2 years utilization/quality assurance review and coding experience in ICD-9/10-CM, CPT, DRG, and payment method ... DRG, SNF, HH, CMG) Advanced Knowledge of utilization review/ quality assurance procedures Knowledge of, and the ability...

    30+ days ago from NCI Information Systems, Inc.

  • Claims Investigator (Work from Home) - Houston, TX

    Westside Regional Medical Center - Nashville, TN

    and internet searches (required) Experience with STARS claims information system (desired) Working knowledge of medical ... individuals (required) Ability to prioritize, handle multiple claims with due dates and time management...

    1 day ago from Westside Regional Medical Center

  • Claims Investigator (Work from Home) - Houston, TX

    HCA Healthcare - Nashville, TN

    internet searches (required) * Experience with STARS claims information system (desired) * Working knowledge of ... (required) * Ability to prioritize, handle multiple claims with due dates and time management...

    2 days ago from HCA Healthcare

  • Claims Investigator (Work from Home) - Houston, TX

    Mountain Star Healthcare - Nashville, TN

    and internet searches (required) Experience with STARS claims information system (desired) Working knowledge of medical ... individuals (required) Ability to prioritize, handle multiple claims with due dates and time management...

    3 days ago from Mountain Star Healthcare

  • Workers’ Compensation Claims Coordinator

    American Blue Ribbon Holdings - Nashville, TN

    * Review all newly reported Workers’ Compensation claims for catastrophic losses, OSHA reportability, and ... * Review claims for reserve adequacy, subrogation opportunities, carrier claim reporting notices, and appropriate claims...

    8 days ago from American Blue Ribbon Holdings, LLC

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