Claims Review Nurse Jobs

Ascendo Resources - , TX, United States (+1 location)

Our client is looking for fully remote Rehabilitation Nurse! This role is a clinical review position focusing on Inpatient Rehabilitation specialty. Role Overview: The Clinical Review Nurse assesses

from: linkedin.com - 4 days ago

Medix™ - , TX, United States

Medix is currently hiring RN's to work as a Behavioral Health Clinical Review Nurse. This is a completely remote position, they are able to live and obtain a license in any state. The Behavioral

from: linkedin.com - 6 days ago

Randstad - columbus, ohio

School Responsibilities Pulling appeals from the workbasket, reviewing claim denials, setting up cases for nurse reviews, sending out provider notification letters and building authorizations using CPT $19.99 - $20 per hour

from: randstadusa.com - 14 days ago

Marsh McLennan Agency - Dallas, TX, United States

outcomes; Provide guidance regarding potential large settlements; Recommend suitable vendor partners, including claims TPAs, nurse triage, and others; Review adjuster’s claim action plans; facilitate claims

from: linkedin.com - 19 days ago

Lucas James Talent Partners - Rochester, NY, United States

-required paperwork and medical reports for WC. Participate in claim reviews with WC brokers, insurance carriers and key management personnel. EDUCATION, SKILLS & EXPERIENCE Nurse Practitioner License

from: linkedin.com - 10 days ago

Mitchell Martin - Long Beach, California

of the Medical Claims Review Nurse and is cross-trained to work in a variety of areas and functions, including appeals, claims analytics, DRG Validation claims repricing, and outpatient payment integrity audit

from: resume-library.com - 25 days ago

Rising Medical Solutions - Chicago, IL, United States (+9 locations)

medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experienced medical bill review auditors, nurse auditors, med-legal nurse, negotiators and related staff

from: linkedin.com - 14 days ago

Loyal Source Government Services - Pocatello, ID, United States

professional to evaluate and provide a clear, comprehensive, and concise review of Veterans Affairs (VA) Compensation and Pension Disability claims. You will not decide the percent of disability or rating

from: linkedin.com - 6 days ago

Ageatia Global Solutions - Baltimore, Maryland

Job Description: PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine

from: resume-library.com - 13 days ago

AmTrust Financial Services, Inc. - Scottsdale, AZ, United States (+3 locations)

resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy

from: linkedin.com (+1 source) - 12 days ago