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Medical Records Reviewer Sr
Respond to queries from our clients regarding claim folders. Reassembles and organizes VA claims folder according to established policies and procedures....
Utilization Management Reviewer, RN
Torrance Health IPA
Torrance, CA 90505
Assists in determining status of non-complex claims for reimbursement. The Utilization Management Reviewer, RN works closely with physicians, hospitals, and...
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Utilization Management Nurse Reviewer
UM Nurse Reviewer. This position may work closely with the claims payer to ensure proper claims payment based on the authorization or denial....
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Claim Reviewer-Life

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....

Claim and Denial Reviewer - FT Days

Palestine, TX
Benefits for patients admitted as inpatient, outpatient, or observation status to facilitate timely claims filing....

Clinical Appeals Reviewer - Denials Team

Atlanta, GA +3 locations
Experience with medical claims. The denials may include Pre-Service and Concurrent UM and administrative requests, Post-Service cases (retrospective reviews,...

Entry level Process Reviewer QA(medical claims)

Arlington, TX 76011 (East area)
Knowledge of claim payment and process preferred. We have almost 900,000 healthcare providers under contract, an estimated 68 million consumers accessing our...

Disability Claims Nurse

Remote
As a Disability Nurse Claims Reviewer, You Are Responsible for:. You will need the knowledge and skills to conduct thorough investigations of disability claims....

Claim and Documentation Specialist

CHME, Inc.
Foster City, CA 94404
$38,000 - $40,000 a year
Solid understanding of standard claims processing systems and claims data analysis. Review claims for overage quantity, limitations and exclusions based on...
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Entry Level Loan Reviewer (Project in Jersey City)

Jersey City, NJ
$20 - $23 an hour
Claim compensation for late payment received. Entry Level Loan Reviewer (project in Jersey City)*. Enterprise banking company....
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Resource Management Program Reviewer

Malden, MA
$69,018 - $101,893 a year
Assist with DESE's online Security Portal nutrition claim reimbursement system by providing child nutrition sponsors with technical assistance, running claim...

Reviewer

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

Third Party Reviewer

Somerville, MA
Responsible for accurate and timely follow up of all unpaid claims or incorrectly paid/rejected claims monthly until final resolution....
Premium Audit Reviewer
Anchorage, AK 99502 (Sand Lake area)
$32,000 a year
We offer career paths in Underwriting, Claims, Loss Control, Audit, Assigned Risk, Information Technology, Accounting and Administration....
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Healthcare Insurance Review Coordinator
Analyzing Reviewer responses for completeness and clarity. Serving as a liaison between clients, reviewers, and providers....
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