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Customer Service Representative
Faneuil, Inc. - Winchester, VA
$18.88 an hour
Processes a variety of claims or requests for disaster assistance; The Inspection Reviewer II is a position that encompasses all of the responsibilities of the...
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Full-Time Crop Insurance Compliance Reviewer
Crop Risk Services - Salina, KS
The CRS Compliance Reviewer staff plays a key role in delivering superior customer service to its customers and agent network and ensuring claims are processed...
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Bilingual Call Center Customer Service Representative
Faneuil, Inc. - Winchester, VA
$18.88 an hour
Processes a variety of claims or requests for disaster assistance; The Inspection Reviewer II is a position that encompasses all of the responsibilities of the...
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Telephonic Clinical Appeals Reviewer

UnitedHealth Group - 6,325 reviews - St. Louis, MO   +2 locations
This includes senior level positions with education / certification / licensure other than an RN, such as BSW, MSW, DDS, Chiropractor, Physical Therapist, etc....

Medical Case Reviewer

MES Group - Federal Way, WA
The *Medical Case Reviewer (Quality Assurance Coordinator)*. Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer...
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Third Party Reviewer

Partners HealthCare(PHS) - 270 reviews - Somerville, MA
Responsible for accurate and timely follow up of all unpaid claims or incorrectly paid/rejected claims monthly until final resolution....

AvMed Reviewer

AvMed Health Plans - 43 reviews - Miami, FL
Experience adjudicating claims or in reviewing claims. Prior Medical Claims experience. An ongoing audit on selected claims reports to ensure claims compliance...

Claim Reviewer

MetLife - 2,940 reviews - Oriskany, NY 13424
Records data in the Group Life Claims system for adjudication and determines if claim documentation will need to be reviewed by a Claim Examiner....

Utilization Reviewer

Sutter Health - 529 reviews - ‘Ewa Beach, HI
Serves as a clinical resource to the Risk Manager in the identification and investigation of potential claims and occurrence reports....

Reviewer

Magellan Health - 426 reviews - Harrisburg, PA 17112
Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers....

Full-Time Crop Insurance Compliance Reviewer

Crop Risk Services - Salina, KS
The CRS Compliance Reviewer staff plays a key role in delivering superior customer service to its customers and agent network and ensuring claims are processed...
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Clinical Data Reviewer

Meridian Health Plan - 115 reviews - Detroit, MI
A Day in the Life of a Clinical Data Reviewer:. LPN or RN Licensure is preferred Bachelor’s degree or Fellow designation from the Academy for Healthcare...

Inspection Reviewer II

Faneuil, Inc. - 428 reviews - Winchester, VA
Processes a variety of claims or requests for disaster assistance; The Inspection Reviewer II is a position that encompasses all of the responsibilities of the...
Claims Analyst
The Health Plan - Charleston, WV 25301
The reviewer performs initial review of claims, including HCFA 1500 and UB 92 claims and other billing form types....
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PHYSICIAN (Physician Advisor)
Veterans Affairs, Veterans Health Administration - 3,309 reviews - Dallas, TX
$101,967 - $225,000 a year
Serve as second level reviewer for UM, providing guidance on appropriate/alternate levels of care based on InterQual ® guidelines and other appropriate criteria...