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California Licensed Nurse Reviewer

California Licensed Nurse Reviewer

VirtualVocationsNewark, Delaware, United States
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A company is looking for a Nurse Itemized Bill Reviewer (IBR Analyst).

Key Responsibilities

Perform in-depth reviews of medical claims using UB-04 and itemized statements

Verify accuracy of itemized charges according to client policies and industry standards

Consult with Senior Analysts on claim review issues and assist in content development

Required Qualifications

Active RN, LPN, or LVN license in good standing

1+ years of experience in itemized bill review

2+ years of experience in healthcare billing and coding

Experience applying payer policies and national coding guidelines (CPT, ICD-9 / 10, HCPCS)

Proficient in Microsoft Office and experienced in a remote working environment

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Nurse Reviewer • Newark, Delaware, United States

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