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Medical Reports Reviewer (Quality Assurance Coordinator)
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists....
Licensed Utilization Review II (Call Center Nurse)- Virginia...
Virginia Beach, VA 23464
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost...
Quality Assurance IME and Peer Medical Report Reviewer
Garden City, NY 11530
Our clients have claims in every state across the country with client management contacts residing in New York, California, Illinois, Michigan, Florida,...
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Revenue Claim Reviewer I

Glen Allen, VA 23060
Is properly reimbursed on claims it has submitted for payment. Researches and resolves issues with claims, including denials and appeals for assigned payer...

Claim and Denial Reviewer - FT Days

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

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....

Document Reviewer

Carnegie, PA 15106
$28 an hour
Review company and employee files to determine whether they are relevant to the potential claims. Wednesday, July 18th - Friday, July 20th....
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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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FOIA Reviewer, Support Services

Northport Affiliates, LLC
Alexandria, VA 22314 (Southwest Quadrant area)
$50,000 - $70,000 a year
The FOIA Reviewer. Will assist with FOIA claims processing and support activities. FOIA Reviewers will interpret and apply laws, regulations, policies, and...
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Clinical Appeals Reviewer - Denials Team

San Francisco, CA
Handle high claims and appeal volume while using internal Claim, UM / UR Behavioral Health, Medical claims / appeal management processes....

Feed Liaison and Label Reviewer

Lexington County, SC
$32,838 - $60,760 a year
Verify products and label claims are safe, unadulterated, and not misbranded. Review feed product registration applications and product/process descriptions....

Clinical Appeals Reviewer

Chico, CA 95976 +5 locations
Insurance Claims experience. This includes senior level positions with education/certification/licensure other than an RN, such as BSW, MSW, DDS, Chiropractor,...


Harrisburg, PA 17112
Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers....
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....
Clinical Reviewer
Clinical Reviewer, Specialized Medical Ability Resource Team Admin Job Renton, WA | Washington Permanente Medical Group Careers....
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