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Claims Review Nurse jobs

Viewing 51 - 60 of 9,763 jobs

  • Evaluation and Management Services (E&M) Medical Review Spec

    NCI Information Systems - Richmond, VA

    Perform comprehensive medical record and claims review to make payment determinations based on Insurance ... office and hospital visit documentation review. 1 year claims knowledge either from billing, reviewing, or...

    9 days ago from

  • Clinical Manager of Medical Review -

    E-health - Milwaukee, WI

    Job Description: Mgr NGS Medical Mgmt: Manages medical review nursing staff and grievance and appeals units for National ... appropriateness of care and accurate claims payment. • Conducts pre-certification, and appropriateness of...

    16 days ago from ZipRecruiter

  • Medicare Medical Review Supervisor

    NCI Information Systems - Nashville, TN

    Review (MR) Department under the direction of the Medical Review Manager and Program Managers. The MR Supervisor ... Preferred Education and Experience: Minimum of four (4) years of experience in medical/utilization review or fraud inves...

    24 days ago from

  • Coding & Documentation Review Specialist

    National Recruiting Group - Melville, NY

    Position Summary: Certified coder responsible for the review of provider documentation and coding. Supply the ... that the coding is appropriate prior to releasing the claims to be billed. Duties/Responsibilities: Assists...

    25 days ago from ZipRecruiter

  • Claims Manager - Workers' Compensation

    Stephenson & Brook - Boston, MA

    multi-dimensional approach to controlling risk. Our team of claims consultants, medical case managers, physicians, ... experience as a claims adjuster, claims specialist, or claims examiner a Plus Salary Range - $60-75K, commensurate...

    1 day ago from ZipRecruiter

  • Disability Claims Advocate/Legal

    Personnel People - Providence, RI

    in appealing denied disability benefits. Will obtain and review medical records, and conduct strategic review to ... Legal, Psychological Services, and Veteran or Disability claims management, medical or health insurance claims. Some...

    7 days ago from ZipRecruiter

  • Claims Analyst

    AP Healthcare - Boston, MA

    and other payers through phone calls, questionnaires, claims, provider inquiries, and other methods as required. ... customers as needed. Review, research and process all COB claims for members with other insurance, including...

    9 days ago from ZipRecruiter

  • Medical Director, Claims Centralized Operations

    Futuretech Staffing - Spokane, WA

    Expert on Claims and be a Clinical Resource within the Claims Centralized Operation Team. The purpose of this role ... Review Duties will include but are not limited to: medical claims payment determinations for provider disputes, liaison...

    17 days ago from ZipRecruiter

  • Coordinator of UR, Denials, and Claims Management

    E-health - Orlando, FL

    Job Description: Profit experience highly desired; reports to Dir of PFS; experience in hospital admission times, utilization of resources and length of stay, discharge times, etc; works closely with case management; BS min, RN required...

    13 days ago from ZipRecruiter

  • Claims Medical Review Nurse

    State of Arizona - Phoenix, AZ

    Leadership, Passion, Quality, Respect, Teamwork** **Claims Medical Review Nurse****** **First review: 12/01/14** ... is currently recruiting for a Claims Medical Review Nurse, Grade 20. **After training, this position has the...

    14 hours ago from State of Arizona

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