Medical Review jobs in San Francisco, CA

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Contract Underwriter
Insperity 64 reviews - Alamo, CA
Our commitment to your success is enhanced by our competitive salary and an extensive benefits package including paid time off, medical, dental, vision and...
Sponsored by Insperity  - 25 days ago
Referral Services LVN II
Brown & Toland Physicians 7 reviews - San Francisco, CA
Assist Physician Advisors and Medical Directors with benefit interpretation, obtaining additional medical necessity information and researching issues....
Sponsored by Brown & Toland Physicians  - 30+ days ago
Clinical Nurse Manager (RN)
Satellite Healthcare 7 reviews - California
Medical Record Management. Consistently reviews and evaluates patient priorities as changes occur in the condition of the patient or center....
Sponsored by Satellite Healthcare  - 30+ days ago

Operations Supervisor (Medical Claims) #2015-060

Zenith American Solutions 17 reviews - San Francisco, CA
Interact with clients to remediate escalated claims issues, review plan changes, and attend to other client needs....
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Special Investigator Premium Fraud

BHHC - San Francisco, CA 94105(Financial District area)
Review the referral for necessity and completeness; Reviews, edits, and proofreads own written work before finalizing it....

Independent Contractor (Medical Data Abstraction)

WVMI and Quality Insights - San Francisco Bay Area, CA
Our national network of trained abstractors review records from every VA medical facility in the country to collect information about quality of care provided...
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Claims Technical Review Specialist

Zenith-American 5 reviews - San Francisco, CA
Reviews processed claims, including hospital, medical, dental, vision, prescription, and timeloss for accuracy, HIPAA and DOL compliance, and appropriateness of...

Sr. Medical Editor

Healthline Networks 2 reviews - San Francisco, CA
Help source and align specific external medical review resources with special projects. Assist in recruiting, nurturing and managing a multi-disciplinary...

Recovery Specialist, Corporate Audit (Medical Claims/Provide...

Hill Physicians Medical Group/PriMed Management - San Ramon, CA
Review claim data in conjunction with contract language. Strong understanding of medical terminology (CPT & ICD-9 Codes)....

Medical Claims Examiner-15104

North East Medical Services - San Francisco, CA
Working knowledge of medical terminology, standard code sets, and claim forms. Working knowledge of managed care and/or healthcare claim reimbursement or...

Clinical Assistants

HELP 27 reviews - San Mateo, CA
Review and summarize medical records. Upload/download medical dictations to/from transcription service daily. Prepare and edit comprehensive medical reports to...
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Associate Director Clinical Research, Liver Disease

Gilead - Foster City, CA
Review and design protocols. Coordinates the collection and assimilation of ongoing data for internal analysis and review....

Service Director Non RN- Genetics

Kaiser Permanente 2,392 reviews - Oakland, CA
Kaiser Permanente conducts compensation reviews of positions on a routine basis. Plans, organizes, directs, evaluates and coordinates outpatient/inpatient...
Compliance Auditor
Chinese Community Health Plan - San Francisco, CA
Maintains confidentiality of all information related to members, medical staff, employees, integrity issues, audits, and, as appropriate, other information....
Easily apply
Sponsored by Chinese Community Health Plan  - 30+ days ago
Remote Medical Auditor Inpatient (CCS, RHIA, RHIT)
Pyramid Healthcare Solutions 18 reviews - United States
Reviews claim denials and rejections pertaining to coding and medical necessity issues. In the Remote Medical Coding Quality Auditor Inpatient role you will be...
Sponsored by Pyramid Healthcare Solutions  - 30+ days ago

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Company with Medical Review jobs
Brown & Toland is a network of 1500+ local physicians, working in 38 Bay Area Cities, caring for more than 300,000 patients.