Remote RN: Inpatient Clinical Claims Review
Palo Verde Community College District
- Remote job
UnitedHealth Group is seeking a licensed RN for a Telecommute Clinical Claims Review role. You will conduct administrative reviews of inpatient claims, document determinations, and apply screening criteria from Federal, State, and client requirements. The position requires an RN license, 5+ years of clinical documentation experience, and proficiency in Microsoft Office. A designated home workspace with reliable internet is required. #J-18808-Ljbffr Palo Verde Community College District
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$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting... ...applications This is a 100% remote role, and requires robust internet... ...authorization data with post-service claims validation, we're creating a transparent...Remote workClaimsFull timeFlexible hoursShift work- ...currently seeking a highly motivated RN Clinical Appeals & Utilization Review for an opportunity in Columbus ,... ...& Utilization Review Location: Remote – Ohio; Columbus area preferred... ...documentation. Utilize multiple claims and appeals systems to research information...Remote jobClaimsTemporary workWork at officeMonday to FridayShift work
$29 - $52 per hour
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Overview Medical Review Nurse II - Clinical Validation At Performant,... ...primarily performs medical claims audit reviews. As a... .... You will work remotely in a fast paced and dynamic... ...provided in both inpatient and outpatient... ...Active unrestricted RN license in good standing...Remote workClaimsFor contractorsWork at officeWork from homeHome officeShift work$29 - $52 per hour
...Program Integrity Clinical Compliance Auditor Optum... ...performing compliance reviews of medical and administrative... ...providers who submit claims for payment. This... ...schedule. This position is Remote in Massachusetts. You... ...~ Nurse licensure (RN or LPN) with a current,...Remote workClaimsHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- UnitedHealth Group is seeking a Clinical DRG RN auditor to apply expert MS-DRG/APR-DRG... ...and ICD-10 guidelines in inpatient claims audits. This remote role allows telecommuting from anywhere... ...Responsibilities include conducting coding reviews, verifying DRG assignments, and...Remote jobClaimsRelocation package
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$69.3k - $78k
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## Clinical Inpatient Pharmacy Technician - Audit & ReviewApplylocations: Boise, ID: Salt Lake City... ...Pharmacy Technician - Audit & Review**Work from home within Oregon, Washington... ...better. As a member of the Post Service Claim Review team, our Clinical Inpatient Pharmacy...ClaimsWork at officeImmediate startWork from homeFlexible hours$2,210 per week
...Work-life balance. Remote/hybrid setting (... ...individual will utilize clinical knowledge and... ...outpatient treatment or inpatient confinement. This... ...to a second level reviewer. This individual... ..., benefit and claim concerns, and validation... ...is not limited to RN, LMSW, LMHC....Remote workClaimsFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours$29 - $52 per hour
About This Role The Clinical Claim Review RN at UnitedHealth Group is responsible for performing clinical coverage review services, interpreting... ...years of experience as an RN, including experience in an inpatient/acute setting 1+ years of clinical documentation...ClaimsHourly payFull timeDay shift$85k - $109.2k
...individual for an Associate Manager, Inpatient/Outpatient Coding Review who is responsible for supervising a... ...team of Certified Coders, Clinical DRG Auditors, and Nurse Reviewers to... ...coding discrepancies and recoverable claim opportunities, and supporting regulatory...Remote workClaimsFull timeContract workWork from homeFlexible hours- The Senior Clinical Coder serves as a subject matter expert in medical... ...reimbursement across inpatient and outpatient services. In... ...conduct detailed retrospective claims reviews, provide expert-level coding... ...thrives in a fast-paced, remote environment and is passionate...Remote workClaimsFull timeWork at officeWork from homeHome office
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