Claim Reviewer jobs

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Review Nurse- ICWP
Assists providers with resolution of claims edit issue as needed. And clearly and concisely documents the rationale for all nurse reviewer decisions in...
ICD-10RNData EntryCase ManagementHome Care
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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...

Telephonic Clinical Appeals Reviewer

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

Clinical Appeals Reviewer

Atlanta, GA
Handle high claims and appeal volume while using internal Claim, UM / UR Behavioral Health, Medical claims / appeal management processes....
ExcelWindowsData EntryMicrosoft WordMedical Terminology

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...

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....

Physician Reviewer - Rheumatology - Remote

National Medical Reviews Inc
Atlanta, GA
Under the direction of the Chief Medical Director, provides peer reviews services, which may include benefit coverage opinions, case reviews, claims auditing,...
Patient Care
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Board Certified Physician Reviewer - Pulmonologist - Remote

National Medical Reviews Inc
Atlanta, GA
Under the direction of the Chief Medical Director, provides peer reviews services, which may include benefit coverage opinions, case reviews, claims auditing,...
Patient CareBC/BE
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Rheumatologist Peer Reviewer - Remote

National Medical Reviews Inc
Atlanta, GA
Under the direction of the Chief Medical Director, provides peer reviews services, which may include benefit coverage opinions, case reviews, claims auditing,...
Patient CareBC/BE
Easily apply

EB Sales Underwriter

Atlanta, GA
Periodic claims utilization, trend and lag analyses. Technical claims review with gap in care, cost modeling and benchmarking....
Benefits AdministrationExcelMicrosoft Office

Review Nurse- ICWP

Atlanta, GA 30346
Assists providers with resolution of claims edit issue as needed. And clearly and concisely documents the rationale for all nurse reviewer decisions in...
ICD-10RNData EntryCase ManagementHome Care
Easily apply

Nurse Medical Mgmt I - (IHM) Atlanta, GA office - (PS10005VM...

Atlanta, GA 30319
Works with medical directors in interpreting appropriateness of care and accurate claims payment. Consult with clinical reviewers and/or medical directors to...
Case ManagementRNManaged Care
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