Jobs by Simply Hired

Search for Jobs

Job Title, Skills, or Company

City, State, or ZIP

Third Party Reviewer jobs

Viewing 1 - 10 of 1,933 jobs

  • Third Party Investment Manager Due Dilligence

    American International Group - New York City, NY

    associated with any new business initiatives for the third party investment managers program (Including ... * Prepare written compliance assessments of third party investment providers for submission to senior...

    30+ days ago from American International Group

  • Full Time Compliance Product Manager (CANNOT WORK C2C or 3rd parties) (14-06312)

    Diversant - Great Neck, NY

    Immediate need for a talented Compliance Product Management that brings experience in the Financial Industry. This is a Fulltime Permanent position and is located in Great Neck, New York. Please review the below job description and contact...

    30+ days ago from DIVERSANT LLC

  • Utilization Review RN

    Judge Group - Washington, DC

    and the healthcare team to ensure understanding of third-party payer guidelines. * Serves as a resource for education to patients and families * Ensures consistent data capture to identify trends/problems related to delivery-of-care delays...

    1 day ago from Judge Group

  • Certified Code Review Processor

    CCC Information Services - Denver, CO

    from automobile accidents involving first and third party injury coverage. AIS provides three types of solutions ... Job Summary: The Code Review Processor for our third party product assigns the appropriate CPT, HCPCS,...

    1 day ago from CCC Information Services, Inc

  • Nurse Manager (Utilization Review)

    U.S. Department of Veterans Affairs - Leavenworth, KS

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

    8 days ago from U.S. Department of Veterans Affairs

  • COORD UTILIZATION REVIEW II

    Unm Hospitals - Albuquerque, NM

    - Ensure optimal reimbursement from governmental third party payers, obtaining proper authorization * ... information from various sources, and coordinate with third party insurance payors to obtain continued stay and/or...

    12 days ago from HEALTHeCAREERS Network

  • Utilization Review RN

    Wentworth-douglass Hospital - Dover, NH

    and knowledge of medical standards of care. Knowledge of third party payer systems and levels of care. Extensive experience in dealing with medical staffs and medical staff committees. Ability to interrelate with physicians, nurses and...

    30+ days ago from HEALTHeCAREERS Network

  • Registered Nurse (Utilization Review)

    U.S. Department of Veterans Affairs - Saginaw, MI

    and appeals/denial reviews to obtain approval from third party payers for services provided to Veterans. * Use ... the clinical review in CPRS and to contact the third party payer for authorization of services. * Â Patient...

    27 days ago from U.S. Department of Veterans Affairs

  • BWPO APPEALS SPECIALIST / 40 HOURS / DAYS - BWH RADIATION ONCOLOGY

    Brigham & Women's Hospital - Brookline, MA

    DUTIES AND RESPONSIBILITIES: • Processes all third party insurance claims for payment • Handles patient and ... documentation for appeal to third party • Reviews denied claims for possible appeal • Communicates with third...

    13 days ago from Brigham & Women's Hospital Inc

  • Medical Biller (Dental)

    Michael Page - New York City, NY

    ?Reviews Patient bills/reports to ensure all information is complete and accurate based on third party requirements and ... ? Reviews and researches third party rejection and make necessary corrections concerning HCPCS/CPT4, modifier, revenue/o...

    30+ days ago from Michael Page

Post a Job on BusinessWeek.com

Post a Job

Reach millions of talented professionals