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Claims Review Nurse jobs

Viewing 21 - 30 of 10,714 jobs

  • Healthcare Physician Practice Consultant / Medical File Review Nurse - Jefferson County

    UnitedHealth Group - Watertown, NY

    - Ensure all claims based issues are triaged to the appropriate party for claims analysis and “fix” ... nurse, nurse practitioner, RPN, Medical File Review, Medical Coding Careers with UnitedHealthcare. Let's talk...

    30+ days ago from UnitedHealth Group

  • Utilization Review - Managed Care Nurse - (UL RN)

    Nursesrx - Pasadena, CA

    with lessons/observations learned in an effort to have claims paid first pass. Utilization review nurses assist in ... review nurse, managed care nurse, utilization review RN, nurse, nursing, registered nurse, RN, R.N., hospital,...

    30+ days ago from


    Tenet Healthcare - Phoenix, AZ

    claims processing guidelines. Ensure minimization of claims recoupments. Works with department management and other ... Bachelor’s degree required and 10 years in Claims with progressively more responsibility. Preferred...

    9 days ago from Tenet Healthcare

  • Utilization Review Nurse - Full Time - Utilization Management

    Alaska Native Tribal Health Consortium - Anchorage, AK

    review information in computer. Communicates results to claims adjusters. Enters billing information for services. ... experience Utilization Review. Certification in Utilization Review or Utilization Management is preferred. ADDITIONAL...

    5 days ago from

  • UM/Concurrent Review Nurse

    Catholic Health Initiatives - Federal Way, WA

    Summary The primary role of the Utilization Management/Concurrent Review Nurse is to review and monitor members’ utiliza ... appropriate referral to case management, and high dollar claims review. This position will be considered for...

    30+ days ago from

  • Hospital Billing Review Clinician (RN)

    Assist Group - Lakewood, CO

    Job Title: Hospital Billing Review Nurse Clinician (RN) Reports To: Clinical Manager Location: Lakewood, CO TalenTrust ... with advancedtechnology to conduct a line-by-line review of hospital and out-patientfacility claims, identifying...

    1 day ago from

  • Hospital Billing Review Clinician (RN)

    Talentrust - Lakewood, CO

    with advanced technology to conduct a line-by-line review of hospital and out-patient facility claims, ... of the claim review process including medical record review, clinical claim review and a broad knowledge of...

    29 days ago from ZipRecruiter

  • Registered Nurse-Review Analyst

    Visionit - Detroit, MI

    Requesting Department: Precertification Services Registered Nurse-Review Analyst: Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretationMay be required to enter or...

    12 days ago from CareerBuilder

  • Sr Nurse Reviewer I

    Crawford & Company - Sunrise, FL

    account criteria and case management strategies to review claims, identify early potential recovery obstacles ... resources. Utilizes information system reports to identify claims requiring subsequent reviews Utilizes evidenced based...

    9 days ago from

  • National Nurse Review Manager

    CCC Information Systems - Iselin, NJ

    currently has an exciting opportunity for a National Nurse Review Manager. Auto Injury Solutions delivers customizable, ... Solutions, which involve the review of first party medical claims, (2) Medical Advisory Solutions, which include nurse...

    27 days ago from

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