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Third Party Reviewer jobs

Viewing 1 - 10 of 2,040 jobs

  • Clinical Denial Review Coordinator

    South Nassau Communities Hospital - Oceanside, NY

    other clinical guidelines. Requires a working knowledge of third party and managed care insurance coverage and regulations. Prior experience in a hospital quality management or insurance company utilization preferred. Prior experience in...

    14 days ago from Nurse.com

  • Nurse Manager (Utilization Review)

    VHA - Asheville, NC

    unit. The incumbent should possess in depth knowledge of third party medical review criteria, utilization review ... advanced clinical practice and external review criteria for third-party payments. Performance of clinical reviews on a...

    5 days ago from HealthJobsNationwide.com

  • Prebill Utilization Review RN or LPN WIth Potential to Work From Home

    Parallon - Orange Park, FL

    payor that require clinical expertise. Communicates with third party payors to resolve discrepancies prior to billing. Accurately and concisely documents all communications and action taken on the account in accordance with policies and...

    26 days ago from CareerBuilder

  • Head of Third-Party Risk Administration, Managing Director

    Mufg Union Bank - San Francisco, CA

    guidance to business units as they manage third-party risk, advises senior management on emerging third-party risk ... enhancement of the Company’s Third-Party Risk Policy and associated procedures, and Third-Party Risk Appetite...

    25 days ago from MUFG Union Bank

  • Third Party Operations Manager

    Benefitfocus - Charleston, SC

    Benefitfocus strategic initiative to increase our base of third party implementation resources. The Third Party ... to ensure adequate support is available for each third party implementation. * Remove impediments for third party...

    30+ days ago from BenefitFocus

  • Senior Third Party Associate

    Beth Israel Deaconess Medical Center - Boston, MA

    the weekly medical record log with input from the 3rd party billers. Reconciles returned records with outstanding ... Knowledge of third party billing and payer/self-pay regulations...

    30+ days ago from Beth Israel Deaconess Medical Center

  • Retail Third Party Sales Rep

    ASK Staffing - Lafayette, LA

    products and services through direct interface with third party partners such as retail stores, MDU's, realtors, ... consumer electronic partners. Works with and educates third party vendors to increase revenue generating growth...

    30+ days ago from ASK Staffing

  • Security Shift Supervisor (3rd Shift)

    Dk Security - Battle Creek, MI

    DK Security is recruiting for the position of part-time Shift Supervisor at Kellogg Community College located in Battle Creek, MI . You will find the job description listed below. Please review the position carefully. If you are interested...

    4 days ago from DK Security

  • Registered Nurse (Utilization Review) VN-0610-I-III

    Veteran Health Administration - Danville, IL

    and appeals/denial reviews to obtain approval from third party payers for services provided to Veterans. · Uses ... the clinical review in CPRS and to contact the third party payer for authorization of services. · The RUR nurse is...

    1 day ago from Veteran Health Administration

  • RN Utilization Review

    Sedgwick Claims Management Services - Lake Mary, FL

    is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we...

    3 days ago from Sedgwick Claims Management Services, Inc