Claim Reviewer jobs

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Licensed Utilization Review I
$20 - $24 an hour
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost...
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Data Entry I
Tampa, FL 33607 (Carver City area)
Managing incoming calls or incoming post services claims work. In this role you would be responsible for determining contract and benefit eligibility, providing...
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Bill Reviewer-ForeSight

Tampa, FL 33607 (Carver City area)
The Bill Reviewer is responsible for appropriately adjudicating workers compensation claims containing implanted devices....

Utilization Management Representative I - Tampa, FL - PS1044...

Tampa, FL
Refers cases requiring clinical review to a Nurse reviewer. Managing incoming calls or incoming post services claims work....

Employee Benefit Analyst IV

Tampa, FL
Analysis of claims utilization. Multi-year technical claims review with utilization metrics, gap in care, cost modeling and benchmarking....

Licensed Utilization Review II (Call Center Nurse)- Tampa FL...

Tampa, FL
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost...

Licensed Utilization Review Sr (RN)- Tampa FL PS11169

Tampa, FL
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost...

Senior Medical Director

Tampa, FL
Conducts high cost claims reviews for individual cases and engages in high cost claims reviews rounds. This position is responsible for making medical necessity...
Utilization Management Representative
Tampa, FL 33607 (Carver City area)
Refers cases requiring clinical review to a Nurse reviewer. Managing incoming calls or incoming post services claims work....
Easily apply
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