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Claim Reviewer jobs

Director, Clinical Data Operations, Registered Nurse, RN - S...
New Braunfels, TX 78130
Federal and state laws relating to managed care, basic principles and practices of clinical nursing, referral processes, claims, case management, contracting...

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,...

Telephonic Clinical Appeals Reviewer

San Francisco, CA
Experience with Claims. This includes senior level positions with education / certification / licensure other than an RN, such as BSW, MSW, DDS, Chiropractor,...

Clinical Appeals Reviewer (LHI)

La Crosse, WI 54602
Process daily / weekly claims error files to ensure efficient and expeditious handling of claims. Also includes, the maintenance of the pended claims file and...

Clinical Appeals Reviewer

Atlanta, GA +1 location
Handle high claims and appeal volume while using internal Claim, UM / UR Behavioral Health, Medical claims / appeal management processes....

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