Reviewer: salario promedio en Cambridge, MA in 2024
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Nurse Reviewer
The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment. ...
Quality Control Data Reviewer
We are seeking a detail-oriented Quality Control Data Reviewer to support our commitment to excellence in oncology data management. The Quality Control Data Reviewer in Technical Operation department will play a crucial role in ensuring the accuracy, reliability, and integrity of analytical data wit...
Itemized Bill Review, Facility Reviewer
At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and ensuring adherence to proper billing guidelines. ...
Remote Medical Expert Reviewer - Optometrist
Maximus Federal is seeking an Optometrist to join the Medical Consultant panel as an Expert Medical Reviewer for Quality Management Reviews. ...
Cardiology Physician Clinical Reviewer
What You’ll Be Doing:As a Cardiology, Physician Clinical Reviewer you will be a key member of the utilization management team. As well as, aids and acts as a resource to Initial Clinical Reviewers. What You Will Be Doing:Serve as the specialty match reviewer in Cardiology cases, that do not initiall...
Quality Control Data Reviewer
We are seeking a detail-oriented Quality Control Data Reviewer to support our commitment to excellence in oncology data management. The Quality Control Data Reviewer in Technical Operation department will play a crucial role in ensuring the accuracy, reliability, and integrity of analytical data wit...
Temporary RN Utilization Nurse Reviewer (Per Diem) at Commonwealth Care Alliance
The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets CMS compliance standards in the area of service deci...
Patient Billing and Claims Reviewer
NECO has an exciting opportunity in our Commonwealth Clinic for a Patient Billing and Claims Reviewer. The Patient Billing and Claims Reviewer (On-Site) will be located at 930 Commonwealth Avenue in our Commonwealth clinic. Patient Billing and Claims Reviewer (On-Site) Responsibilities:. Patient Bil...
Travel Expenses Reviewer - hybrid - $25/hr
Travel Expenses Reviewer - hybrid - $25/hr. We’re looking for adetail-oriented Travel Expenses Reviewer to join a supportive, collaborativeteam at a prestigious university. ...
Itemized Bill Review Facility Reviewer
At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and ensuring adherence to proper billing guidelines. ...
MV01-102424 Deviation Reviewer
Validation & Engineering Group, Inc.V&EG) is a leading services supplier who provides solutions for the Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following areas: Laboratory, Compliance, Computer, Engineering, Project Management, Validation, and other servi...
Subject Expert Reviewer needed
Subject Expert Reviewer needed. ...
French (France) Multimedia Content Reviewer
In this exciting position the content reviewer will localize, translate and adapt the content of various categories (i. ...
Inpatient DRG Reviewer
The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. ...
Spanish Medical Reviewer
As a trusted global transformation partner, Welocalize accelerates the global business journey by enabling brands and companies to reach, engage, and grow international audiences.Welocalize delivers multilingual content transformation services in translation, localization, and adaptation for over 25...
Third Party Claims Reviewer, Hybrid
The Third-Party Reviewer functions under the general supervision of the HSN/ Other Government Unit Supervisor/Manager. ...
Italian Multimedia Content Reviewer
In this exciting position the content reviewer will localize, translate and adapt the content of various categories (i. ...
Quality Assurance Reviewer Associate I (Remote)
Why This Role is Important to Us.Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP).Additionally, this role will r...
Travel Expenses Reviewer - hybrid - $25/hr
Travel Expenses Reviewer - hybrid - $25/hr. We’re looking for adetail-oriented Travel Expenses Reviewer to join a supportive, collaborativeteam at a prestigious university. ...
RN Utilization Nurse Reviewer at Commonwealth Care Alliance
The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets CMS compliance standards in the area of service deci...
Third Party Reviewer
The Third-Party Reviewer functions under the general supervision of the Workers Comp and Motor Vehicle Supervisor/Manager. ...
Accounting and Tax Reviewer
Within the Finance Department, the Financial Review is a dedicated and independent function in charge of permanent controls on accounting and financial information.The Financial Review is a key component of the Enterprise Risk Management framework.As part of the second line of defense, it consists o...
Third Party Claims Reviewer, Remote
The Third Party Reviewer functions under the general supervision of the payer unit Supervisor. ...
Document Reviewer
We have an ongoing need for Document Reviewers. Document Reviewers will review documents for complex litigation matters using an electronic review platform to code for relevancy, confidentiality, and privilege. ...
Nurse Reviewer, Endoscopy -Braintree
Nurse Reviewer, Endoscopy -Braintree-(3288945). Under the direction of the Nurse Director of the BWPO’s South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support the quality, efficiency and satisfaction of care ta...