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Claims Review Nurse jobs

Viewing 11 - 20 of 9,751 jobs

  • Epic Professional Billing Claims Analyst

    National Talent Finder - Dover, DE

    EPIC Clinical Systems Analyst -Epic Professional Billing Claims Analyst This is a brand new and Large Epic Install :) Perm/FTE Our Client prides itself in rewarding its employees with a comprehensive, competitive benefits packet designed...

    3 days ago from ZipRecruiter

  • Registered Nurse-Review Analyst

    Iconma - Detroit, MI

    Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretation. May be required to enter or reference data via PC and/or CRT terminal. Other related skills may be required to...

    5 days ago from Net-Temps

  • Utilization Review Coordinator

    Nurse Management - Portland, OR

    management activities ensuring regulatory compliance. The Nurse Case Manager organizes medical management programs ... The Utilization Review Manager / Case Manager is responsible for facilitating patient care objectives, discharge patient...

    14 days ago from NurseManagement.com

  • Supervisor, Cost Containment Unit - Medical Claims

    WellCare - Tampa, FL

    work experience Minimum of five (5) years experience in claims management and/or managed care ... Thorough knowledge of managed healthcare to include claims processing, coding, medical terminology, service,...

    29 days ago from Mx Group

  • Medical Review Nurse

    Josephines Professional Staffing - Campbell, CA

    Review Nurse performs comprehensive medical record and claims review to make payment determinations based on ... (E) PRIMARY PURPOSE: The Medical Review Nurse performs comprehensive medical record and claims review to make payment de...

    18 days ago from HealthJobsNationwide

  • Medical Dir-Claims/Recovery Centralized Operations

    Managed Care Company - Spokane, WA

    manages the denial process. Reviews cases with concurrent review nurses. Provides medical expertise for care ... Preferred Education: Board Certified (primary care preferred) Preferred Experience: Peer Review, medical policy/procedur...

    14 days ago from IvyExec

  • Insurance/Medicare Documentation and Claims Specialist - Home Health

    Sterling Care - Greenwich, CT

    Job Description: The Insurance/Medicare Documentation and Claims Specialist role is to obtain insurance precertification ... The goal of concurrent review is to facilitate clinically appropriate physician/clinical documentation of all patient co...

    15 days ago from Jobg8

  • Account Claims Representative - Account Claims Rep - Claims Representative - Claims Rep

    PMA Companies - Meriden, CT

    Account Claims Representative - Account Claims Rep - Claims Representative - Claims Rep Job Description - Account Claims ... Functions - Account Claims Representative - Account Claims Rep - Claims Representative - Claims Rep: Promptly...

    7 days ago from CareerRookie.com

  • Utilozation Review Nurse

    Ladino Talent Management - Los Angeles, CA

    Assignment: All of the claims have gone through adjudication and the provider is now asking for an amended payment/allow ... pre-service, concurrent post-service and retrospective claims medical review. Monitors and oversees the collection...

    1 day ago from FeeTrader, LLC

  • Nurse Reviewer

    CCC Information Systems - Iselin, NJ

    Solutions, which involve the review of first party medical claims, (2) Medical Advisory Solutions, which include nurse ... CCC by visiting www.cccis.com Job Summary The National Nurse Review position provides support to the carriers...

    7 days ago from HealthJobsNationwide

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