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Claims Review Nurse jobs

Viewing 61 - 70 of 10,651 jobs

  • Casualty Claims Adjuster- Temporary

    York Risk Services - Baton Rouge, LA

    managed care services including utilization review, bill review, nurse case management, medical provider networks, ... as well as premises liability accidents, product liability claims, the casualty claims adjuster must be qualified...

    2 days ago from ZipRecruiter

  • Utilization Review Services Nurse I

    York Risk Services - Austin, TX

    managed care services including utilization review, bill review, nurse case management, medical provider networks, ... review determination, referring to physician for final review as needed. ESSENTIAL JOB RESPONSIBILITIES: Collects...

    14 days ago from ZipRecruiter

  • Medical Record Case Review Specialist

    Alps Services - Henrico, VA

    RECORD CASE REVIEW SPECIALIST The Medical Record Case Review Specialist should have experience working with case ... 1. Previous experience with the review of medical claims and medical records requests. 2. Previous utilization...

    1 day ago from ZipRecruiter

  • Senior Casualty Claims Adjuster- Temporary

    York Risk Services - Baton Rouge, LA

    care services including utilization review, bill review, nurse case management, medical provider networks, pharmacy ... General and Automobile Liability claims. Assigned claims typically consists of medium to complex non-litigated...

    2 days ago from ZipRecruiter

  • Utilization Review Registered Nurse (RN) / HMO

    A-line Staffing Solutions - Detroit, MI

    Job Summary of the Utilization Review Registered Nurse (RN) / HMO: Perform timely initial clinical review as ... for review purposes. Qualifications of the Utilization Review Registered Nurse (RN) / HMO: Active RN MI license in...

    9 days ago from ZipRecruiter

  • DRG Reviewer

    Nychsro/medreview - New York City, NY

    Review Organizations (PSROs) for Medicare and Medicaid review. In 2014, NYCHSRO is observed its fortieth (40th) ... to ensure the timely completion of the review Record review decisions and justifications for changes requested or...

    2 days ago from ZipRecruiter

  • 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...

    9 days ago from ZipRecruiter

  • Team Lead- Bill Review Services

    York Risk Services - Dublin, OH

    managed care services including utilization review, bill review, nurse case management, medical provider networks, ... primarily responsible for supervising the medical bill review process, and ensuring the timely and accurate...

    2 days ago from ZipRecruiter

  • Utilization Review Benefits Specialist

    Elements Behavioral Health - Houston, TX

    This position will require an approximate 50/50 split of time between benefit verification and utilization review ... • Ensures timely completion of appeals process, follow-up and resolution of outstanding authorization/claims...

    11 days ago from ZipRecruiter

  • Healthcare Systems Analyst - NASCO / NPS Claims / BFAST (104376)

    Strategic Staffing Solutions (s3) - Detroit, MI

    Skill required: Ability to review/perform analysis of business requirements Knowledge of Medical insurance claims proces ... Required Skills/Experience Minimum of 3-5 years of NPS claims processing experience Experience in identifying and...

    9 days ago from ZipRecruiter

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