66 Medical Claims Reviewer Jobs Nationwide

Description Clinical Review Nurse I - Medicare Part B National Government Services is a proud member of Elevance Health's family of brands. We...

Description Clinical Review Nurse I - Medicare Part B National Government Services is a proud member of Elevance Health's family of brands. We...

Description Clinical Review Nurse I - Medicare Part B National Government Services is a proud member of Elevance Health's family of brands. We...

Description Clinical Review Nurse I - Medicare Part B National Government Services is a proud member of Elevance Health's family of brands. We...

Description Clinical Review Nurse I - Medicare Part B National Government Services is a proud member of Elevance Health's family of brands. We...

1. Perform reviews of medical records and healthcare claims, determining the accuracy of codes billed and compliance with appropriate policies...

* Combing through UB-04/IB's for any potential coding/billing violations * Auditing revenue codes against clinical documentation * Confirmation...

BA/BS in nursing degree and current RN license in New York State • Prefer minimum of 1-3 years relevant experience in case management, utilization...

BA/BS in nursing degree and current RN license in New York State • Prefer minimum of 1-3 years relevant experience in case management, utilization...

* Manages operations and projects of assigned commercial and government care management area in accordance with departmental and corporate...

This position monitors and controls the workflow of legal claims, maintains legal files and acts as a liaison between internal departments, CHRISTUS...

BA/BS in nursing degree and current RN license in New York State • Prefer minimum of 1-3 years relevant experience in case management, utilization...

Overview This position will be filled by a nurse to serve as a Nurse Clinical Care Reviewer for the Medical Benefits and Certifications Unit. The...

Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We're an innovative...

* Manage and distribute work as designated * Run and analyze reports * Review aging and inventory levels * Hold self and others accountable to meet...

* Manage and distribute work as designated * Run and analyze reports * Review aging and inventory levels * Hold self and others accountable to meet...

Please note: State agencies that contact job applicants do not usually request personal or financial information via text message or over the...

NY HELP No Agency Attorney General, Office of the Title Forensic Auditor: Entry Level Opportunity, CPA Not Required (6319) Occupational Category...

Based in Albany, working at the direction of the NYS Department of Health (DOH) you will be primarily responsible for the day-to-day case management...

Based in Albany, working at the direction of the NYS Department of Health (DOH) you will be primarily responsible for the day-to-day case management...