Talent.com
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsGainesville, Florida, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.

Key Responsibilities

Conduct medical claim reviews for complex services and determine coverage and reimbursement based on established criteria

Document medical rationale for payment or denial of services and provide education on medical reviews and coding procedures

Participate in quality control activities and assist with special projects as assigned by management

Required Qualifications, Training, and Education

Associate Degree in Nursing or graduate of an accredited School of Nursing

Two years of clinical experience

Active RN licensure in the state hired or an active compact multistate RN license

Preferred experience in medical review or utilization review

Proficient in Microsoft Office

serp_jobs.job_alerts.create_a_job

South Carolina • Gainesville, Florida, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Sr. Clinical Data Coordinator

Sr. Clinical Data Coordinator

TradeJobsWorkForce32686 Reddick, FL, US
serp_jobs.job_card.full_time
Clinical Data Coordinator Job Duties : Support laboratory data management procedures including authoring and reviewi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Registered / Certified Medical Assistant

Registered / Certified Medical Assistant

Cardiovascular Institute of Central FloridaOcala, FL, US
serp_jobs.job_card.full_time
Cardiovascular Institute of Central Florida.Cardiology office looking for a registered medical assistant.Take patient histories and medications. Perform and record vital signs in EMR system.Maintain...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Patient Registration Coordinator

Patient Registration Coordinator

New SeasonGAINESVILLE, FL, US
serp_jobs.job_card.part_time
Patient Registration Coordinator.For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Medical Assistant OcalaOcala, FL

Certified Medical Assistant OcalaOcala, FL

AdventHealthOcala, FL, US
serp_jobs.job_card.full_time
Certified / Registered Medical Assistant I.At AdventHealth Medical Group, you can be part of a team of driven professionals providing compassionate care to the communities across nine US states.With ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Scribe - Gainesville

Medical Scribe - Gainesville

Orthopaedic Solutions ManagementGainesville, FL, US
serp_jobs.job_card.full_time
Join our clinical team as a Medical Scribe for a.Working side-by-side with providers in a fast-paced environment, you’ll accurately document provider–patient interactions, including med...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Records Technician (Marion County, FL) 6051

Medical Records Technician (Marion County, FL) 6051

AdvantmedSilver Springs, FL, US
serp_jobs.job_card.part_time +1
serp_jobs.filters_job_card.quick_apply
Advantmed is hiring enthusiastic Medical Records Technicians! This is a great "foot-in-the-door" position for those looking to be involved in the emerging Healthcare & Technology industry.At Ad...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Coordinator

Patient Coordinator

Aspen DentalMiddleburg, FL, US
serp_jobs.job_card.full_time
Patient Experience Coordinator.At Aspen Dental, we put you first, offering the security and job stability that comes with working with a world-class dental service organization (DSO).Our best-in-cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Representative

Patient Access Representative

AscensionMiddleburg, FL, US
serp_jobs.job_card.full_time
Communicate with patients, participants, and staff to accurately schedule patients for prescribed procedures.Perform clerical and reception duties associated with patient registration.Gather necess...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Physician / Neurology / Florida / Permanent / Ocala Florida Area Job

Physician / Neurology / Florida / Permanent / Ocala Florida Area Job

The Curare GroupOcala, Florida, United States
serp_jobs.job_card.permanent
Established Neurology group in central Florida is seeking a Neurologist that specializes in Epilepsy and has EEG certification. Located just a short drive to Orlando, this location will give you acc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Part-time Patient Services Coordinator (Starke, FL)

Part-time Patient Services Coordinator (Starke, FL)

StarkeyStarke, FL, US
serp_jobs.job_card.part_time
Part-Time Patient Services Coordinator (Starke, Fl).At Audibel, a subsidiary of Starkey Hearing Technologies, we are setting a new standard for excellence in hearing healthcare with commitment to o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Pain Management- Independent Medical Examiner (IME)

Pain Management- Independent Medical Examiner (IME)

Dane Street, LLCOcala, FL, US
serp_jobs.job_card.full_time
As Physician Reviewer / Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims.The Physician Reviewer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Billing

Medical Billing

TradeJobsWorkforce32686 Reddick, FL, US
serp_jobs.job_card.full_time
REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative Lead

Patient Access Representative Lead

Surgery PartnersGainesville, FL, US
serp_jobs.job_card.full_time
Patient Access Representative Lead.The Patient Access Representative Lead is considered the subject matter expert and leads the team in best practices relating to patient access.This includes sched...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Psychiatric Office Assistant Internship / Outpatient Clinic (Certification Program) / Gainesville

Psychiatric Office Assistant Internship / Outpatient Clinic (Certification Program) / Gainesville

Harmony United Psychiatric CareGainesville, FL, US
serp_jobs.job_card.full_time
Psychiatric Office Assistant Internship Program.Company : Harmony United Psychiatric Care.Job Title : Psychiatric Office Assistant Internship / Outpatient Clinic (Certification Program).Program Duratio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Office Assistant / Outpatient Clinic / Full-time Employment / Gainesville

Office Assistant / Outpatient Clinic / Full-time Employment / Gainesville

Harmony United Psychiatric CareGainesville, FL, US
serp_jobs.job_card.full_time
Office Assistant / Outpatient Clinic / Full-time Employment.Company : Harmony United Psychiatric Care.About Us : Harmony United Psychiatric Care is part of Harmony United Healthcare LLC.We are a network ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Service Representative - Gainesville Dermatology

Patient Service Representative - Gainesville Dermatology

My Derm RecruiterGainesville, FL, US
serp_jobs.job_card.full_time
Patient Service Representative.Come join our team! We have an immediate need for a Patient Service Representative in our Gainesville Dermatology clinic! If you are ready to make an impact every day...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Lead Certified Medical Assistant - Pulmonology

Lead Certified Medical Assistant - Pulmonology

AscensionMiddleburg, FL, US
serp_jobs.job_card.full_time
Lead assigned staff in performing activities or tasks in support of physician practice operations.Lead or coordinate shift operations of assigned activities, resources, and / or associates.Serve as a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Psychiatric Office Assistant Internship / Outpatient Clinic (Certification Program) / Ocala

Psychiatric Office Assistant Internship / Outpatient Clinic (Certification Program) / Ocala

Harmony United Psychiatric CareOcala, FL, US
serp_jobs.job_card.full_time
Psychiatric Office Assistant Internship / Outpatient Clinic (Certification Program).Harmony United Psychiatric Care.Flexible, minimum 20 hrs / week with 10 hrs / day (Full office day) Location : Ocala.Har...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Part-time Patient Services Coordinator (Starke, FL)

Part-time Patient Services Coordinator (Starke, FL)

AudibelStarke, FL, US
serp_jobs.job_card.part_time
Part-Time Patient Services Coordinator (Starke, Fl).At Audibel, a subsidiary of Starkey Hearing Technologies, we are setting a new standard for excellence in hearing healthcare with commitment to o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Hospital Front Desk Associate

Hospital Front Desk Associate

TradeJobsWorkforce32686 Reddick, FL, US
serp_jobs.job_card.full_time
In this role, the Hospital Front Desk Associate, where you will assist with packaging, labeling, and preparing items for delivery, work with supervisors to meet daily goals, and manage simple recor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30