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Claims Review Nurse jobs - Nashville, TN

Viewing 1 - 10 of 150 jobs

  • Claims Investigator

    Leading Operator of Health Care Facilities - Nashville, TN

    (required) •Experience with STARS claims information system (desired) •Working knowledge of medical and legal ... •Ability to prioritize, handle multiple claims with due dates and time management skills(required) Risk...

    18 days ago from IvyExec

  • 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, walk,...

    11 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...

    8 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...

    8 days ago from NCI Information Systems, Inc.

  • Utilization Review Nurse

    Kelly Services - Nashville, TN

    Utilization Review Nurse 3+ Month Contract Opportunity with our large health insurance client based in their Nashville ... invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide:...

    22 days ago from Kelly Services

  • OT Skilled Nursing Facility Medical Reviewer - Casual Status

    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...

    5 days ago from NCI

  • OT Skilled Nursing Facility Medical Reviewer - Casual Status

    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...

    5 days ago from NCI Information Systems, Inc.

  • Nurse Consultant Utilization Review

    Gallagher Benefit Services - Franklin, TN

    in Claims at Arthur J. Gallagher may be waiting for you! Nurse Consultant Utilization Review-18862 Description At ... A Registered Nurse to provide utilization management review of worker's compensation claims . Accesses medical...

    6 days ago from Gallagher Benefit Services, Inc.

  • 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...

    30+ days ago from American Blue Ribbon Holdings, LLC

  • Nurse Consultant Utilization Review

    Arthur J. Gallagher & Co. - Franklin, TN

    A Registered Nurse to provide utilization management review of worker's compensation claims . Accesses medical ... recommendations of treatment to all parties including claims professionals, medical providers, ancillary service...

    13 days ago from Arthur J. Gallagher & Co.

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