Clinical Appeals Nurse Reviewer: Coding & Denials Expert
Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Massachusetts is looking for a Clinical Appeals Nurse Reviewer to transform healthcare by facilitating and coordinating provider appeals for denied services. Your role will involve reviewing claims and collaborating with various teams while utilizing your extensive coding knowledge and clinical judgement. You’ll ensure accurate billing and prioritization in a full-time capacity. We offer a comprehensive benefits package, including paid time off and medical insurance. #J-18808-Ljbffr Blue Cross Blue Shield of Massachusetts
- Blue Cross and Blue Shield of Massachusetts Inc. seeks a Clinical Appeals Nurse Reviewer to facilitate and respond to provider appeals for denied... ...work collaboratively with various teams, applying clinical, coding, and business knowledge to resolve claims appeals. The...Suggested
$41.72 - $50.99 per hour
Blue Cross and Blue Shield of Massachusetts, Inc. is hiring a Clinical Appeals Nurse Reviewer in Hingham. This role involves responding to provider appeals for denied services, utilizing clinical judgement, coding knowledge, and collaboration with various departments. Key...SuggestedHourly payFull time- South Shore Health System in Weymouth, MA is hiring a Professional Coder I to ensure accurate coding for outpatient and inpatient procedures. You will analyze medical documentation, assign diagnostic codes, and work collaboratively with healthcare providers to clarify...Suggested
$41.72 - $50.99 per hour
Role The Clinical Appeals Nurse Reviewer facilitates, coordinates, and responds to provider appeals for denied services utilizing extensive clinical, regulatory, business, and coding knowledge. This role works collaboratively with Provider Service, Claims, Network Management...SuggestedHourly payFull timeNight shift$41.72 - $50.99 per hour
...your true colors to blue. The Role The Clinical Appeals Nurse Reviewer facilitates, coordinates, and... ...clinical, regulatory, business, and coding knowledge. Collaborates with the Physician... ...will serve as a liaison and business expert for claims appeals. This role works collaboratively...SuggestedShift workNight shift$41.72 - $50.99 per hour
...your true colors to blue. The Role The Clinical Appeals Nurse Reviewer facilitates, coordinates, and... ...clinical, regulatory, business, and coding knowledge. Collaborates with the Physician... ...will serve as a liaison and business expert for claims appeals. This role works collaboratively...Hourly payFull timeNight shift$60 per hour
...generated quantitative work and design problems for AI training. This position requires 2+ years of experience in a quantitative field and coding skills. A bachelor's degree is preferred, and fluency in English is essential. The job offers flexible scheduling and competitive...Remote jobHourly payFlexible hours- ## Dialysis Clinical Manager Registered Nurse - RNApplyremote type: Onsitelocations: Quincy, MA, USAtime type... ...Classification of Disease (ICD) coding. • Responsible for all required network... ...issues, and questions including the review of patient satisfaction surveys. • Developing...Temporary workWork experience placementWork at office
$33.64 - $49.98 per hour
Boston Medical Center (BMC) is seeking a Certified Surgical Tech in Brockton, Massachusetts. The role involves acting as the primary scrub person during surgical procedures, ensuring the highest standard of sterile techniques, and assisting the surgical team as required...$126.84k - $173.87k
Mass General Brigham is seeking a Nurse Practitioner to join their team providing patient care during night shifts. This role involves assessing and admitting patients, serving as the first contact for existing patients, and ensuring high-quality documentation. A Master...Night shift$99.6k - $223.4k
...modern data platforms to solve problems like clinical decision support, revenue optimization... .... • Experience with blending hands-on coding with smart adoption of AI-driven... ...dental, and vision insurance, including expert medical opinion # Short term disability...Temporary workFlexible hours- A premiere animal healthcare provider in South Weymouth, MA, is looking for an Experienced Radiology Technician to enhance their Diagnostic Imaging Team. This role emphasizes expertise in sedation and anesthesia and involves collaboration with specialists across multiple...Flexible hours
- Tufts Medicine is looking for an entry-level Surgical Technologist II to support complex surgical procedures in Boston. This role involves assisting surgeons and maintaining a sterile environment for patient safety. The ideal candidate will possess a high school diploma...
- South Shore Health System is seeking an Oncology Registered Nurse in South Weymouth, Massachusetts. The nurse will focus on patient assessment, education, and coordination of care for oncology patients, administering therapies such as chemotherapy, and providing compassionate...
- South Shore Health in Weymouth, Massachusetts, seeks a Registered Nurse to manage individualized, outcome-oriented nursing care. The RN will ensure patient safety, facilitate medication administration, and uphold compliance with healthcare standards. The ideal candidate...
- South Shore Health System in Weymouth, Massachusetts is seeking a Registered Nurse to manage individualized, outcome-oriented nursing care. This role entails administering medication, documenting patient care tasks, and ensuring compliance with safety protocols. The ideal...
- South Shore Health in Weymouth, Massachusetts, is seeking a dedicated Registered Nurse to manage individualized, outcome-oriented nursing care. The ideal candidate will coordinate the delivery of care in line with hospital policies and promote patient family-centered care...
- Yale New Haven Health is seeking a Registered Nurse in Hingham, Massachusetts. The RN will assess and supervise patient care according to unit policies and procedures while ensuring a high level of service. Responsibilities include developing care plans and supervising...
- South Shore Health is hiring a Registered Nurse in Weymouth, MA, to manage individualized nursing care effectively. The role involves administering medications, maintaining safety standards, and ensuring proper documentation of patient care. The ideal candidate will have...
$112k - $162.5k
Boston Medical Center is seeking a licensed and credentialed Nurse Practitioner (NP) to provide quality medical care, including diagnosis... ...nursing license. The role includes responsibilities such as clinical practice supervision, patient care management, and maintaining...- South Shore Health System in Weymouth, MA is seeking a Pharmacy Technician to provide support in documenting and clarifying medication histories under the supervision of pharmacists. Responsibilities include conducting patient interviews, updating information in medical...
$50k - $60k
The Talbots LLC, located in Hingham, MA, is seeking a Pricing & Promotions Analyst responsible for managing promotions, pricing, and markdown processes for the Outlet channel. The role requires strong analytical skills, proficiency in Microsoft Excel, and the ability to...- Harbor Health is always seeking Per Diem Nurse Practitioners to join our Primary Care and... ...based medicine. • Provides timely and expert care to patients with acute illness. •... ...Record (EMR) appropriately using proper coding and documents care accordingly; accurately...Hourly payDaily paidWeekend workDay shiftAfternoon shift
- South Shore Health System in South Weymouth seeks a Certified Registered Nurse Anesthetist (CRNA) to provide anesthesia care and monitor patients during various medical procedures. The role requires administering anesthetic agents, ensuring patient safety, and conducting...
$2,400 - $10,000 per month
Overview Nurse Practitioner Per Diem This position covers all zip codes in: Suffolk County, MA ComplexCare Solutions (CCS) specializes... ...with a focus on driving better clinical outcomes. CCS, on behalf of... ..., accurate and thorough review of the assigned member population...Daily paidLocal areaRemote work$124.8k
...Family Nurse Practitioner Opportunity The minimum starting salary... ...Saturday rotation based on clinic needs. Responsibilities... ...specialty care. Provides timely and expert care to patients with acute... ...EMR) appropriately using proper coding and documents care accordingly...Hourly payFull timeLocal areaAfternoon shift- ...Overview You didn’t become a nurse practitioner to feel rushed, boxed in, or disconnected from your patients. What if you could build... ...For You Insurance credentialing and payer contracting Billing, coding, and revenue cycle management EHR setup and support Virtual front...Local area
- South Shore Health System in South Weymouth, MA is seeking a Radiologic Technologist to provide interpretive, patient care, and technical functions necessary for accurate radiologic diagnosis. Responsibilities include patient safety and comfort, operating radiographic ...
$40 - $45 per hour
...What We’re Looking For: As a Clinical Documentation Quality... ...influencing the precision of code assignment, making a tangible... ...accurate, and complete documentation reviews for selected inpatient records... ...medical center ~ Registered Nurse license, Bachelor's degree in...Hourly pay- ...activity trackers. Withings Medical Group extends this mission into clinical care. The ACCESS program integrates device-generated data, AI-... ...synchronous and asynchronous — in the EHR with accurate ICD-10 coding. Capture comorbidities accurately (e.g., CKD Stage 3b) to...Hourly payPermanent employmentFull timeContract workPart timeFor contractorsWork at officeImmediate startRemote work
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