Claim Review jobs

Now available 8 results are consistent

Sort by:relevance - date

HOME HEALTH PRE CLAIM REVIEWER - REMOTE

Responsible for preparing, organizing, submitting all Palmetto payor patients billing episodes into eServices. Ensures compliance with all State and Federal regulations prior to submission. Meets daily and weekly quota of chart su...

CompanyReliant At Home
AddressEl Paso, TX
CategoryInformation Technology
Job typeFull-Time
Date Posted 4 weeks ago See detail

Home Health Pre Claim Reviewer - Remote

Reliant At Home

El Paso, TX

Responsible for preparing, organizing, submitting all Palmetto payor patients billing episodes into eServices. Ensures compliance with all State and Federal regulations prior to submission. Meets daily and weekly quota of chart su...

Medical Claims Review Coordinator-San Antonio, TX

Optum

San Antonio, TX

$43.9K - $55.6K a year

Research and resolve UM inventory accordingly to meet productivity and quality standards to include:. Claims reports with reconciliation needs. Information received through Right Fax. Information received through email. Or any oth...

Clinical Claim Review RN - Medical Disability - Remote

Optum

Nashville, TN

$28.03 - $54.95 an hour

Remain up to date with the contract requirements. Use clinical judgement to ensure a clear, comprehensive, and concise exam documentation that is reflective of the patients service level conditions and in compliance to contract r...

Remote Medical Claim Review LVN - Work PST Hours

Molina Healthcare

Long Beach, CA

$21.60 - $46.81 an hour

Performs clinical/medical reviews of retrospective Medical Claim Reviews, Medical Claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims p...

Claim Reviewer

Dental Dreams

Chicago, IL

$47.4K - $60K a year

The benefits package includes:Medical & Vision InsuranceFree dental treatmentPTO401K Medical & Vision Insurance Free dental treatment PTO 401K Reviews Claims Gather Claim Information Submit Findings Follow up on outstanding claims...

Clinical Claims reviewer LVN - CA Remote

Optum

El Segundo, CA

$19.47 - $38.08 an hour

Performing a retrospective review of claims received for care and services in both the inpatient and outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients health plan b...

Claims Review Specialist - Accounting/ Revenue Integrity Analyst

Bravens

Los Angeles, CA

REQUIRED EXPERIENCE:Take on a significant role within a world-class health organization. This will involve applying dashboards and processes for continuous analysis of complex revenue cycle functions while also auditing data input...

Client Relationship Manager - Medical Claim/Bill Review

Alaffia Health

Remote

$90,000 - $110,000 a year

Managing a portfolio of clients to achieve operation objectives, retain revenue, and identify upsell opportunities. Understand client scope of work and serve as the client advocate when working with internal teams to ensure that c...