Talent.com
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsMilwaukee, Wisconsin, 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 • Milwaukee, Wisconsin, United States

Job_description.internal_linking.related_jobs
Intake Clinician

Intake Clinician

Universal Health Services, Inc.West Allis, WI, United States
serp_jobs.job_card.full_time
Granite Hills Hospital is seeking a talented and dynamic Intake Clinician to join our team of dedicated healthcare professionals!. Shift / s (FLEXIBLE) : Days or Nights, 7 : 00 PM - 7 : 30 AM or 7 : 00 AM - ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Coordinator

Patient Access Coordinator

HangerWaukesha, WI, US
serp_jobs.job_card.full_time
With a mantra of Empowering Human Potential, Hanger, Inc.O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service.Ha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinic Service Rep - Forest Home

Clinic Service Rep - Forest Home

Children's WisconsinMilwaukee, WI, US
serp_jobs.job_card.full_time
At Children's Wisconsin, we believe kids deserve the best.Our pediatricians and primary care offices offer parents a level of care that cannot be obtained at other places : .Affiliation with the #4 c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Patient Relations Rep III

Patient Relations Rep III

Medical College of WisconsinMilwaukee, WI, United States
serp_jobs.job_card.full_time
Patient Relations Representative III.Trauma and Critical Care Surgery.Tasks are completed for several specialties and a large group of physicians across the many locations of our clinical enterpris...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Billing Specialist / $20 an hour

Medical Billing Specialist / $20 an hour

All Medical AlliedMilwaukee, WI, US
serp_jobs.job_card.full_time
Our agency is currently hiring a Medical Billing Specialist for a client in Milwaukee.Medical Billing & A / R Specialist. Required Minimum Position Qualifications : .Medical Billing / Coding Certifica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Patient Access Specialist - Clinic

Patient Access Specialist - Clinic

Froedtert South, Inc.Pleasant Prairie, Wisconsin, United States, 53158
serp_jobs.job_card.full_time
Patient Access Specialist - Clinic.Patient Access Specialist Responsibilities : .A Patient Access Specialist serves as the first point of contact for Froedtert South. The position is accountable for a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinic Svc Rep

Clinic Svc Rep

Children's WisconsinMilwaukee, WI, US
serp_jobs.job_card.full_time
Children's Wisconsin Front Desk Team Member.At Children's Wisconsin, we believe kids deserve the best.Our pediatricians and primary care offices offer parents a level of care that cannot be obtaine...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinical Liaison (Milwaukee)

Clinical Liaison (Milwaukee)

ClearSky HealthMilwaukee, WI, US
serp_jobs.job_card.part_time
Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses.We distinguish ourselves through our commitment to excellence, to our patient...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Medical Coder

Medical Coder

TradeJobsWorkForce53167 Rochester, WI, US
serp_jobs.job_card.full_time
Medical Coder Job Duties : Accounts for coding and abstracting of patient encounters, includ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative

Patient Access Representative

Aya HealthcareKenosha, WI, US
serp_jobs.job_card.full_time
A Patient Access Specialist serves as the first point of contact for Froedtert South.The position is accountable for appointment scheduling, patient check-in and check-out, registration, coverage m...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Coordinator

Patient Coordinator

Aspen DentalPleasant Prairie, WI, 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_30
  • serp_jobs.job_card.promoted
Customer Service Representative - Patient Registration Team Lead

Customer Service Representative - Patient Registration Team Lead

R1 RCMRacine, WI, US
serp_jobs.job_card.full_time
Customer Service Representative Team Lead.R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinical Liaison

Clinical Liaison

ClearSky HealthMilwaukee, Wisconsin, United States
serp_jobs.job_card.full_time
Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses.We distinguish ourselves through our commitment to excellence, to our patient...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Specialty Medical Bill Review Auditor

Specialty Medical Bill Review Auditor

Rising Medical SolutionsMilwaukee, WI, US
serp_jobs.job_card.full_time
Headquartered in Chicago, RISING Medical Solutions is a privately held, financial solutions organization offering medical cost containment and care management services. With offices, providers, and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Patient Access Specialist

Patient Access Specialist

Froedtert South, Inc.Kenosha, Wisconsin, United States, 53143
serp_jobs.job_card.full_time
Patient Access Specialist Responsibilities : .A Patient Access Specialist serves as the first point of contact for Froedtert South. The position is accountable for appointment scheduling, patient chec...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
PRN Medical Receptionist

PRN Medical Receptionist

American Family CareKenosha, WI, US
serp_jobs.job_card.full_time
American Family Care (AFC) is one of the largest primary and urgent care companies in the U.Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Mgr Provider Coding Audit

Mgr Provider Coding Audit

Children's WisconsinMilwaukee, WI, US
serp_jobs.job_card.full_time
At Children's Wisconsin, we believe kids deserve the best.Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children.We provide primary ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Medical Assistant - Waukesha, WI

Certified Medical Assistant - Waukesha, WI

All Medical AlliedWaukesha, WI, US
serp_jobs.job_card.full_time
Position : Certified Medical Assistant.Schedule : M, Wed and Fri from 8 am to 5, Tues, 10 am to 7 pm.If interested, please send updated resume, hs diploma and MA certification to : .Please call me at 2...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Representative

Patient Access Representative

NovirMilwaukee, WI, US
serp_jobs.job_card.full_time
The Patient Access Representative (Registration Representative) supports the patient intake and billing processes by ensuring accurate and complete registration, referral management, insurance veri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Part Time Patient Access Registration Representative

Part Time Patient Access Registration Representative

UnitedHealth GroupWaukesha, WI, US
serp_jobs.job_card.full_time +1
Explore Opportunities With Optum.SIGN ON BONUS FOR EXTERNAL APPLICANTS.Explore opportunities with Optum, in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in healt...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days