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. ...
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 errors/overpayments. ...
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 errors/overpayments. ...
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...
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. ...
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...
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...
We're looking for a Premium Audit Reviewer to work in our Burlington, MA location!. ...
Company DescriptionWe help the world see new possibilities and inspire change for better tomorrows.Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable.Job DescriptionWe are seeking Medical Analysts with exp...
Company DescriptionWe help the world see new possibilities and inspire change for better tomorrows.Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable.Job DescriptionWe are seeking Medical Analysts with exp...
Position Overview: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 errors/overpayments. ...
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...
Quality Control Data Reviewer - Quality Control Chemistry. Your job, as Quality Control Data Reviewer - QC Chemistrywithin our Quality team, will be to provide quality support and guidance of assays to Quality Control Chemistry for release of life-saving products to our patients. ...
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. ...
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. We’re looking for adetail-oriented Travel Expenses Reviewer to join a supportive, collaborativeteam at a prestigious university. ...
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...
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. ...
Travel Expenses Reviewer - hybrid - $25/hr. We’re looking for adetail-oriented Travel Expenses Reviewer to join a supportive, collaborativeteam at a prestigious university. ...
In this exciting position the content reviewer will localize, translate and adapt the content of various categories (i. ...
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...
Subject Expert Reviewer needed. ...
You will play a crucial role in evaluating and rating search results, ensuring that the search engines provide the highest quality results.You will be responsible for assessing the relevance of the search results and your insights will directly impact the effectiveness of the search algorithms.No, d...
The Third-Party Reviewer functions under the general supervision of the HSN/ Other Government Unit Supervisor/Manager. ...
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...