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 (Optometrist) Medical Expert Reviewer Needed. Medical Consultant panel to be an Expert Medical Reviewer to conduct Quality Management Reviews. ...
Our Client, a Retail Pharmacy company, is looking for HEDIS Reviewer II for their Remote/NJ location. ...
Job 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 database to support HEDIS Reporting and Quality Improvement. ...
What You’ll Be Doing:As a Physician Clinical Reviewer you will be a key member of the utilization management team. What You Will Be Doing:Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests ...
Our Client, a Retail Pharmacy company, is looking for HEDIS Reviewer II for their Remote/NJ location. ...
Adecco Healthcare & Life Sciences is hiring Nurse Reviewers! This role is remote / work from home. Responsibilities of the Nurse Reviewer:**. Qualifications for the** **Nurse Reviewer** **:**. IMPORTANT:** This **Nurse Reviewer** job is being recruited for by Adeccos Healthcare & Life Sciences divis...
Workforce Group (WFG) is seeking experienced Licensed Building Plans Reviewers, to review/approve structural building plans associated with Hurricane Milton's rebuilding activity. ...
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...
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...
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...
Do you enjoy researching or know how to find what you're looking for with just a few keywords? Are you the type of person that already knows what someone is saying before they finish their sentence? If so, we have a unique opportunity for you to put your skills to the test!.In this position, you wil...
Job 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 database to support HEDIS Reporting and Quality Improvement. ...
A-Line Staffing is now hiring a Medical Records Abstraction Specialist (Work from Home) for a contract position.This position involves collecting and reviewing medical records to abstract clinical information for HEDIS quality reporting.If you are interested in this Medical Records Abstraction Speci...
Located in Honolulu, Hawaii, the Nurse Reviewer is responsible for coordinating and conducting various review activities as defined by HSAG's contract with the State of Hawaii, Department of Human Services MedQUEST Division (DHS/MQD). The Nurse Reviewer is responsible for using professional judgemen...
You are welcoming, reassuring, and have a passion for providing exceptional customer service.You are a go-to tax expert with 3+ years filing a minimum of 30 federal and state individual tax returns annually.You are an exceptional communicator and enjoy translating complex tax terminology into a lang...
Reviewers are not required to walk on roofs or in attics. Reviewers must be available 3-5 days Monday thru Friday to work partial and sometimes full days. ...
Tax Return Reviewer, Global Mobility Services. KPMG is currently seeking a Tax Return Reviewer, Global Mobility Services to join our Global Mobility Services (GMS) practice. ...
Our Client, a Retail Pharmacy company, is looking for HEDIS Reviewer II for their Remote/NJ location. ...
Join us as a Claims Compliance Reviewer to make more of your specialist expertise and experience. ...
Located in Honolulu, Hawaii, the Nurse Reviewer is responsible for coordinating and conducting various review activities as defined by HSAG's contract with the State of Hawaii, Department of Human Services MedQUEST Division (DHS/MQD). The Nurse Reviewer is responsible for using professional judgemen...
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. ...
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. ...
A-Line Staffing is now hiring HEDIS Medical Record Reviewers. This HEDIS Medical Record Reviewer position is with a Fortune 500 company and offers career growth potential. If you are interested in this HEDIS Medical Record Reviewer position, please contact Treaver Gibbs at. The HEDIS Medical Record ...
Reviews tax incentives, grants, and environmental review projects .Provides guidance and technical advice to applicants relative to required Secretary of the Interior’s Treatment of .Historic Properties, Section 106 and NEPA reviews.Supports other HPD program areas and participates in special projec...