A company is looking for a Physician Reviewer - Orthopedics-Spine (remote). ...
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. ...
Premium Auditor (REMOTE) in Home Base, IL....
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. ...
A company is looking for a Global Gap Auditor Technical Reviewer to ensure compliance with food safety standards. ...
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. ...
This person will be responsible for supporting the Asset Management Services Group.Under general supervision, uses advanced knowledge and skills obtained through experience and/or training to assist money .Established procedures and prescribed guidelines are .Overlays accounts to pre-defined trading...
A-Line Staffing is now hiring a HEDIS Reviewer. If you are interested in this HEDIS Reviewer Opportunity, please contact Jenise at. ...
Title: Quality Assurance Nurse Reviewer (Overread Team), (100% Remote). The HEDIS Quality Assurance Nurse Reviewer will validate abstracted medical record data and enter findings electronically into a specified data base to support HEDIS Reporting and Quality Improvement. ...
Job Title: Risk Adjustment Clinical Reviewer. Function as a clinical reviewer for HHS risk adjustment. ...
This person will be responsible for supporting the Asset Management Services Group.Under general supervision, uses advanced knowledge and skills obtained through experience and/or training to assist money .Established procedures and prescribed guidelines are .Overlays accounts to pre-defined trading...
Job Title: Physician Reviewer. ...
AMENDED TO INCLUDE CUTOFF DATES 9/16/2024, 10/15/2024 and 11/15/2024.Click on Learn more about this agency button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at www.Career transition (CTAP, ICTAP,...
This person will be responsible for supporting the Asset Management Services Group.Under general supervision, uses advanced knowledge and skills obtained through experience and/or training to assist money .Established procedures and prescribed guidelines are .Overlays accounts to pre-defined trading...
This position reviews water mitigation estimates and invoices in an effort to control water mitigation costs on residential and commercial property claims.The position will be responsible for reviewing estimates and negotiating adjustment of losses with contractors, public adjusters, insurers, and a...
Join us as a Claims Compliance Reviewer to make more of your specialist expertise and experience. ...
A-Line Staffing is now hiring a HEDIS Reviewer. If you are interested in this HEDIS Reviewer Opportunity, please contact Jenise at. ...
We have a variety of remote tax projects with clients across the US; these clients consist of CPA firms who are looking for project assistance throughout busy seasons as well as special projects year-round.These are remote, career-building project opportunities with cutting-edge firms that are embra...
Provide significant expertise as primary medical reviewer of individual adverse event reports. ...
Work hours will be 8:00 am to 5:00 pm Monday through Friday.You must have high-speed (non-satellite) internet service and a private home office to work from home.Performs medical claim reviews for one or more of the following: claims for medically complex services, services that require preauthoriza...
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. ...
Job Title: Physician 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. ...
Clinical Eligibility Reviewer *(LPN or RN Required). The Clinical Eligibility Reviewer will be responsible for reviewing the EMR records of cardiac recovery patients to determine medical eligibility/ineligibility for Recora Health. ...
Join us as a Claims Compliance Reviewer to make more of your specialist expertise and experience. ...