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Registered Nurse Clinical Reviewer
$50,000 - $119,700 a year
Registered Nurse Clinical Reviewer #000000. And clinical adjudication of emergency care claims. Responsibilities of the RN Clinical Reviewer include the...
Healthcare Insurance Review Coordinator
Analyzing Reviewer responses for completeness and clarity. Serving as a liaison between clients, reviewers, and providers....
$1,500 Sign-On Bonus - Physical Therapist Utilization Review...
$1,500 Sign-On Bonus - Physical Therapist Utilization Reviewer – Hanover, MD. Consult with clinical reviewers and/or medical directors to ensure medically...

Telephonic Clinical Appeals Reviewer

Atlanta, GA +1 location
Experience with Claims. This includes senior level positions with education / certification / licensure other than an RN, such as BSW, MSW, DDS, Chiropractor,...

Claims Disability Case Manager I, Atlanta, GA PS12434 (willi...

Atlanta, GA 30301 (Buckhead area)
Works with Disability Case Management Nurses and Physician Reviewers to review complex/questionable claims. Reviews claim materials against disability policy...

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

St. Louis, MO 63103 (Downtown West area) +1 location
Handle high claims and appeal volume while using internal Claim, UM / UR Behavioral Health, Medical claims / appeal management processes....

CLINICAL CLAIMS REVIEWER

Virginia Beach, VA 23462 (Northwest area)
Optima Health is hiring a Registered Nurse for the Clinical Claims Reviewer position in Virginia Beach, VA....

Reviewer

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

Secondary Reviewer Physician

Fairfax, VA 22033
Receive, review, and evaluate all incoming first level appeals for all members whose Traumatic Service Members’ Group Life Insurance (TSGLI) was denied on the...

CLINICAL CLAIMS REVIEWER

Virginia Beach, VA 23450 (North Central area)
Optima Health is hiring a Registered Nurse for the Clinical Claims Reviewer position in Virginia Beach, VA....

Medical Claim Reviewer

Glen Allen, VA 23060
RemX has an immediate temp to hire opening for a Medical Claim Reviewer with a company located in the West End of Richmond....
Easily apply

Premium Audit Reviewer / Consultant (Work from Home)

Atlanta, GA
Our service in claims, loss control and premium audit is second to none. Currently we have a work-from-home opening for a Premium Audit Reviewer / Consultant....
Medical Claim Reviewer
RemX has an immediate temp to hire opening for a Medical Claim Reviewer with a company located in the West End of Richmond....
Easily apply
Medical Promotional Reviewer
Fort Worth, TX
Work with cross-functional team supporting review of advertising and promotional materials and with Medical Director in assigned therapeutic areas to optimize...
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