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Claims Review Nurse jobs - Tampa, FL

Viewing 1 - 10 of 140 jobs

  • Director - Claims Operations

    Carecentrix - Tampa, FL

    claims operations, including manual processing of provider claims, managing health plan responses including ... health care claims payment operations and health care claims billing and reimbursement operations. Will consider...

    30+ days ago from CareerBuilder

  • Nurse Surgical Provider Appeals Analyst

    Travelers - Tampa, FL

    procedures or billing anomalies identified during the review. In addition to day-to-day responsibilities, ... College degree and /or equivalent work experience preferred.Registered Nurse or Licensed Practical Nurse with Surgical e...

    8 days ago from MiracleWorkers.com

  • RN/LPN/LVN Clinical Systems Manager Project Manager Exp.

    Castle Health Staffing - Tampa, FL

    Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) Technical ... Registered Nurse or Licensed Practical/Vocational Nurse Managed Care Project Management/Implementation IDEAL...

    30+ days ago from PostJobFree

  • Clinical Systems Manager (RN/LPN/LVN)

    E-health Jobs - Tampa, FL

    This role interfaces with multiple business units such as accounting / finance, claims, operations, physician clinics, c ... Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) Technical...

    19 days ago from ZipRecruiter

  • Clinical Systems Manager -Project Management Experience (RN, LPN, LVN)

    Rennickbarrett Recruiting - Tampa, FL

    This role interfaces with multiple business units such as accounting / finance, claims, operations, physician clinics, c ... Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) Technical...

    5 days ago from PostJobFree

  • Care Manager (RN)

    Jsa Medical Group - Tampa, FL

    needed. Consistently apply guidelines to the medical record review process. Evaluate and recommend health delivery network changes with the Medical Director, PCP and Medical Management Team. Participate in QI projects. Attend Care...

    16 days ago from MiracleWorkers.com

  • Care Manager (LPN/RN)

    Port Richey, FL

    needed. Consistently apply guidelines to the medical record review process. Evaluate and recommend health delivery network changes with the Medical Director, PCP and Medical Management Team. Participate in QI projects. Attend Care...

    28 days ago from CareerBuilder

  • Nurse Reviewer

    Carecentrix - Tampa, FL

    moderate direction. Assists the NBC and NCC on billing and claims issues as needed. Assists with the implementation/transition of members when services related to changes at the Specialty Nursing Programs or Specialized Pharmacy accounts-...

    14 days ago from CareCentrix

  • Appeals Nurse Reviewer - Managed Care

    Florida Hospital Tampa - Tampa, FL

    The Utilization Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MC ... Two to four years of Utilization Review/Case Management experience...

    2 days ago from Florida Hospital Tampa

  • HealthPro Claims Specialist - Aging Services

    CNA Financial - Tampa, FL

    and coordination. Individual should be able to utilize claims policies and guidelines, review coverages, determine ... effective resolution of more complex claims. 7. Analyzes claims activities. Prepares and presents reports for...

    3 days ago from CNA Financial Corporation

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