Talent.com
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsBoulder, Colorado, 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 • Boulder, Colorado, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Patient Safety Associate I (Remote-Hybrid)

Patient Safety Associate I (Remote-Hybrid)

TolmarWindsor, CO, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Core Hours : Monday - Friday, 8am-5pm.Under general supervision, monitors compliance with the current Good Manufacturing Practices and Company policies, procedures and specifications; performs inves...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Registration Rep Broomfield

Patient Registration Rep Broomfield

Children's Hospital ColoradoBroomfield, CO, United States
serp_jobs.job_card.full_time
The Patient Registration Representative provides administrative support and high-level customer service support to patients, families, internal team members, providers and referring practices in ad...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Acute Representative

Patient Access Acute Representative

Intermountain HealthLafayette, CO, US
serp_jobs.job_card.full_time
Patient Access Registration Specialist I.A Patient Access Registration Specialist I is responsible for providing excellent customer service and facilitating the registration and scheduling process ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Service Representative

Patient Service Representative

Intermountain HealthBroomfield, CO, US
serp_jobs.job_card.full_time
Patient Service Representative.The Patient Service Representative (PSR) serves as the first connection between Intermountain and patients. This role embodies Intermountain values and focuses on esta...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Patient Registration Associate

Patient Registration Associate

Kaiser PermanenteJohnstown, CO, US
serp_jobs.job_card.full_time
Patient Registration Associate.Acts as first point of contact for Kaiser Permanente members / patients and assists members / patients through registration process under minimal direct supervision.Makes...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Medical Customer Service - Bilingual

Medical Customer Service - Bilingual

Biolife Plasma Services CareersTHORNTON, Colorado, US
serp_jobs.job_card.full_time +1
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that.I provide in my application will be processed in line with.I further attest th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Patient Service Representative

Patient Service Representative

Common Spirit HealthIdaho Springs, CO, US
serp_jobs.job_card.full_time
Commonspirit Health Mountain Region.CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and wher...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Area Health Information Specialist I

Area Health Information Specialist I

DatavantDenver, CO, US
serp_jobs.job_card.full_time
Datavant is a data platform company and the world's leader in health data exchange.Our vision is that every healthcare decision is powered by the right data, at the right time, in the right for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Onsite Medical Records Specialist - $20 / hr

Onsite Medical Records Specialist - $20 / hr

TEKsystemsEnglewood, CO, US
serp_jobs.job_card.full_time
We are seeking a detail-oriented and customer-focused.This position is responsible for processing all ROI requests efficiently and accurately while safeguarding patient privacy and ensuring complia...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Services Representative

Patient Services Representative

Axelon Services CorporationWinter Park, CO, US
serp_jobs.job_card.full_time
Under general supervision, performs all components of patient registration / discharge into the EPIC system.Registration / discharge includes entering charges for services, data entry, and chart breakd...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
CORESPONDER CLINICIAN III

CORESPONDER CLINICIAN III

City of Longmont ColoradoLongmont, CO, United States
serp_jobs.job_card.full_time
Return to Employment Opportunities.Copy Direct To Application Link.Target" style=" mdc-ripple-fg-size : 28px; mdc-ripple-fg-scale : 1.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Registration Coordinator

Patient Registration Coordinator

Behavioral Health GroupWestminster, CO, US
serp_jobs.job_card.full_time
Patient Registration Coordinator.Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and the leading provider of opioid addiction treatment service...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
CYF CLINICIAN I / II

CYF CLINICIAN I / II

City of Longmont ColoradoLongmont, CO, United States
serp_jobs.job_card.full_time
Return to Employment Opportunities.Copy Direct To Application Link.Target" style=" mdc-ripple-fg-size : 28px; mdc-ripple-fg-scale : 1.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Specialist

Patient Access Specialist

OptumBOULDER, CO, United States
serp_jobs.job_card.full_time
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connec...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Assessor

Clinical Assessor

Northpoint Recovery Holdings, LLCLoveland, CO, US
serp_jobs.job_card.full_time
Reports To : Corporate Director of Assessments and Referrals.Location : Hybrid (Onsite-M,W,Fr).Schedule : Monday-Friday 10 : 00-6 : 30pm. Northpoint Recovery Holdings, LLC.Ashwood Outpatient and officially...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Bask Health is hiring : User Experience Writer in Denver

Bask Health is hiring : User Experience Writer in Denver

MediabistroDenver, CO, United States
serp_jobs.job_card.full_time
Bask is the best telehealth platform on the market.Our mission is to empower entrepreneurs and businesses to launch a DTC telemedicine company quickly and easily, abstracting away the complexities ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Entry Level Healthcare- Admin Role

Entry Level Healthcare- Admin Role

TEKsystemsGolden, CO, United States
serp_jobs.job_card.full_time
Confirm all procedure appointments, educating patients if necessary, and communicate with the catheterization lab doctors regarding their schedules. Scheduling new patient or established patient pro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Patient Access Specialist

Patient Access Specialist

UnitedHealth GroupBoulder, CO, US
serp_jobs.job_card.full_time
The Patient Access Specialist is responsible for the smooth operation and flow of patients within the registration area.This includes greeting patients, providing information, answering phones, reg...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Referral Authorization Specialist (Full-time) - Healthcare (Boulder, CO)

Referral Authorization Specialist (Full-time) - Healthcare (Boulder, CO)

Boulder Medical CenterBoulder, CO, US
serp_jobs.job_card.full_time +1
Are you seeking a professional opportunity that offers a friendly and positive work environment where you can work with helpful colleagues? Do you want to make a positive impact on your community w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Access Services Representative

Patient Access Services Representative

Banner HealthLoveland, CO, US
serp_jobs.job_card.full_time
Patient Access Services Representative.Banner Imaging offers a customer-focused team that provides a comprehensive range of Medical Imaging procedures in a friendly work environment and career grow...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30