Medical Record Review Jobs
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Review Assistant - Full Time or Part Time REPORTS TO: Manager, Review Operations/Supervisor, Review Operations Summary Description Prepares prior authorization cases for clinical review in order to streamline the review process. Accountabilities Reviews p...
A perfect opportunity for someone interested in an insurance/medical administrative role as entry level or with previous experience in the medical field such as medical office, medical coding, hospital worker, hospice, or nursing home. Full-Time with outs...
2 weeks ago
On behalf of our client, we have an immediate opening for experienced Medical Record Review Nurses (RN) to conduct home health quality assessments in an office setting. If you have at least two years of experience performing medical record quality reviews...
NW DC Office - near Metro, DC
Contractor | Pay: $26.00 - $30.00/hour
CONTRACT Utilization Review RN – Managed Care Indianapolis, IN *** This Full Time, Benefits Available, CONTRACT position is expected to last several months or longer! *** Your Job Summary: The Utilization Review Nurse is responsible for utilization manage...
Job Summary: This is an exempt position reporting to the Director of Medical Management Department. The position is responsible for the receiving and rendering of decisions on prior and retro authorizations and utilization review using clinical guidelines...
SIHO Insurance Services
2 weeks ago
We have an immediate need for HEDIS Medical Review Nurses and/or Certified Coders that have HEDIS experience to work on-site in Monterey Park, CA ! No remote option, must be willing to work on-site. Work Schedule: Monday-Friday normal business hours Pays...
Monterey Park, CA
2 days ago
Quality Assurance Clerk Are you motivated by being part of a team and working with others? Are you looking for a position with room to grow and develop? Lincare is a dynamic, growing company with over 1,000 locations in 48 states. Lincare employs over 14,...
Are you motivated by being part of a team and working with others? Are you looking for a position with room to grow and develop? Lincare is a dynamic, growing company with over 1,000 locations in 48 states. Lincare employs over 14,000 people who share our...
This position is responsible for attaining specificobjectives defined by the Manager of Risk Adjustment or Director of RiskAdjustment. This position will be heldaccountable for implementing, monitoring and reporting on projects /initiatives assigned t...
1701 River Run
Fort Worth, TX
Our client who specializes in Commercial Auto Liability, Workers Compensation, and physical damage coverage is looking to hire a No-Fault Medical Management Specialist who can work in a vital and highly analytical position responsible for the adjustment o...
3 weeks ago
The Clinical Documentation Specialist (RN) provides clinical code expertise regarding claims editing, reimbursement rules, clinical coding, clincal rationale and decision making of hospital and professional claims. This position will be responsible to ove...
Full-Time | Pay: $73k - $75k/year
Appeals & Grievances Nurse (RN) – Managed Care Phoenix, AZ Your Job Summary: The Appeals & Grievances Nurse performs all aspects of the grievances and appeals process, performance improvement, accreditation and regulatory requirements, and all related act...
Beacon Hill Staffing is seeking a Certified Medical Coding Specialist responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing practices. This position will perform billing and ch...
The Medical Claims Specialist has overall responsibility for verifying patient insurance, submitting claims to insurance companies, collecting payment from patients, posting payments from individuals and insurance companies, keeping track of payments and...
Chadds Ford, PA
Full-Time | Pay: $17.00 - $19.00/hour
Aerotek is hiring for Medical Billers for one of their new Health Care companies in Littleton, Colorado. These positions pay anywhere form $17 to $19/hr and Hours are Monday through Friday with various shifts ranging from 7am-4pm, 8am-5pm and 9am-6pm. Job...
Full-Time | Pay: $15.00 - $16.00/hour
Medical Biller Location: Phoenix, AZ Pay: $15-$16.00 Hours: Monday-Friday, Full Time, Standard Business Hours Job Description of a Medical Biller: Reviewing claim(s) to ensure proper payment was made by the insurance company Evaluating explanation of bene...
2 weeks ago
Full-Time | Pay: $27.00/hour
Med-Scribe, Inc. Healthcare Recruiters is presently searching for RN's for the Chart Review Team. In this role you will be reviewing medical records and making determinations concerning medical necessity and meeting coverage criteria. Your strong writing...
Full-Time | Pay: $68k - $105k/year
Utilization Review RN - Managed Care Santa Barbara, CA Your Job Summary: The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. The UR Nurse will performs reviews...
Santa Barbara, CA
Curo Health Services is seeking a Billing Authorization Specialist in the Mooresville, NC Corporate office. This is an exciting time at Curo due to growth and innovation. We are seeking high capacity candidates who are interested in learning and being a p...
Full-Time | Pay: $16.00 - $17.00/hour
Accounts Receivable - Insurance Follow Up Location: Gilbert, AZ Hours: M-F 8 AM - 5 PM Start Date: ASAP Pay: $16-$17 Type: Permanent with full benefits Job Description for a Hospital Collector (AR Representative): Hospital Collections, Billing, and Follow...
2 weeks ago
Health Insurance Surgical Chart Auditing Specialist Position Full-time 32 hours/week Surgical Technologist experience preferred Join our team! Role/Position Definition: This position will ensure all authorizations/referrals are obtained for scheduled inpa...
22401 Foster Winter Drive
3 weeks ago
We are seeking a Claims Audit Analyst to join our talented team! Overview: The Claims Audit Analyst reports to the Manager, Health Claims Audit & Recovery and reviews medical claims on risk contracts for payment accuracy and recovery. Essential Functions:...
Pinellas Park, FL
Full-Time | Pay: $13.00 - $15.00/hour
Preparation of journal entries, reconciliation and maintenance of general ledger accounts, Preparation of specified accounting records for month end closing, Review of project expense reports and analysis. Maintaining the billing folder for all projects,...
6100 Fairview Road
Full-Time | Pay: $63k - $65k/year
Health Assessment RN - Long Term Care Rochester, NY (Eastern Suburb, near Webster, NY) Your Job Summary: The RN is responsive for the initial and routine Health Assessment of members of a long term care program. They provide nursing services to assigned s...
Full-Time | Pay: $29.00 - $31.00/hour
Duties: The Healthcare Effectiveness Data and information Set (HEDIS) Nurse Abstractor works under the direction of the HEDIS Lead and other personnel to collect and review member records. The HEDIS Nurse Abstractor will abstract pertinent medical record...
701 Corporate Center Drive
Raleigh, North Carolina, NC
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