Claim Reviewer jobs

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Full Time Fraud Analyst / Claims Reviewer
Pionear Recruiting - Newark, DE
$18 - $20 an hour
Full Time Fraud Analyst / Claims Reviewer**. Customer Service Experience Needed for a Fraud Analyst*....
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Nurse Reviewer - RN
MJ Morgan Group - 11 reviews - Bridgewater, NJ
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Lead Clinical Review Nurse
Novitas Solutions, Inc. - Mechanicsburg, PA 17050
Serve as Technical expert of the claims processing system, claims payment policies and procedures, Medicare regulations and CMs requirements:....

Claim Supervisor- Remote

Syndicate Claim Services, Inc. - Indianapolis, IN 46250
Thorough knowledge of claims investigating work and claims related procedures. Make recommendations on policies/procedures related to claims management and...
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Medical Writer - [US, Remote]

ACCELOVANCE - 9 reviews - Rockville, MD
Researches and prepares protocols for food and dietary supplements for health claims, qualified health claims and structure-function claims documents, and...

Review Coordinator (PT or FT)

Livanta - 14 reviews - Las Vegas, NV 89118
Communicates with and supports physician reviewers in summarizing facts of cases and issues requiring physician input....

Medical Reviewer

Katalyst Healthcares & Life Sciences - San Jose, CA   +1 location
Determine if indication and claims for products are supported by clinical data. Review IFUs and product claims for specified client products and suggest changes...

File Reviewer

Syndicate Claim Services, Inc. - Indianapolis, IN 46250
Syndicate Claim Services, Inc. Paperless, web-based claim system providing an ease of workflow and access to all claim documents 24/7....
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Full Time Fraud Analyst / Claims Reviewer

Pionear Recruiting - Fort Worth, TX   +1 location
$20 an hour
Job Summary Customer Service Experience Needed for a Fraud Analyst FULL TIME AND PART TIME We are looking for analytical candidates with Call Center...
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Claims Auditor

AmWINS Group, Inc - 4 reviews - Richardson, TX 75080
The Claims Auditor is responsible for oversight of claims quality assurance. Claims Quality Review Management....
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Medical Review Examiner

Noridian Healthcare Solutions, LLC - 8 reviews - Fargo, ND
Medicare insurance claims processing. An active Registered Nurse/RN license in the state the reviewer is working from and 2+ years clinical/hospital/nursing...

Referral Specialist - River Park Family Medicine

Saint Joseph Health System - 12 reviews - South Bend, IN 46615 (Riverpark area)
$12.17 - $17.51 an hour
Receives and screens all incoming calls for distribution to the nurse reviewer or appropriate department. Recent physician office, hospital business office or...

Remote Quality Assurance Specialist, RN 9:30-6:00pm EST

Dane Street - 11 reviews - Palm Beach Gardens, FL 33418
We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the...
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Clinical Review Nurse
Novitas Solutions, Inc. - Columbus, GA 31901
Experience using claims processing system (e.g., MCS/FISS), etc. O May process claims and complete project work in the appropriate computer system(s)....
PARD Manager
Novitas Solutions, Inc. - Dallas, TX 75270
Establishes reimbursement for services, ensures that assigned staff updates interim rates and other payment factors, ensures that all changes are entered into...