RN Clinical Claims Reviewer: Impactful Health Care
CVS Health Corporation
CVS Health is seeking a licensed Registered Nurse to review clinical documentation and apply decision-making for post-service claims. The role requires RN licensure, a nursing degree, and 2-3 years of clinical experience, plus strong analytical skills for medical claims. Expect full-time hours in Washington with comprehensive benefits and potential bonuses. Responsibilities include training staff, coordinating resolutions, and ensuring compliance with laws and internal workflows. #J-18808-Ljbffr CVS Health Corporation
$91k - $119k
...an alternative application process. Clinical Reviewer (PT or OT-Licensed) US 4 days ago Requisition... ...determine the appropriate course of care? Comagine Health is seeking remote Clinical Reviewers... ...information through providers or the claim system, and communicate with clinics...ClaimsFull timeContract workPart timeReliefRemote workWork from homeShift work- ...revenue cycle operations in a clinic setting. This role will be responsible... ..., resolving coding-related claim issues, supporting providers... ...and official updates. Review and process encounters from charge... ...Previous Federally Qualified Health Center (FQHC) coding...ClaimsFull timeApprenticeshipFlexible hoursShift workEarly shift
$110 per hour
...to Psychiatric Mental Health Nurse Practitioners (PMHNPs... ...high-quality patient care while also achieving... ...to worry about unpaid claims No-show protection... ...will: Provide clinical assessments for patients... ...decision-making. (Note: RN experience and student...ClaimsBi-weekly payFor contractorsPrivate practiceRemote work- Rula Health seeks licensed therapists to join its nationwide network, delivering compassionate behavioral health care. You’ll have true schedule autonomy and collaborate with a team dedicated... .... We handle credentialing, billing, claims, EHR, and tech support, so you can...ClaimsRemote jobWork at officeFlexible hours
- Mercy Home Health RN (Community-Based) delivers high-quality, patient-centered care in patients' homes. You will perform case management, admissions, post-hospitalization... ...-time day shifts with autonomy and meaningful impact. Missouri RN licensure and BLS required; one...SuggestedFull timePart timeDay shift
$46.97 per hour
...our Level IV NICU . Our NICU cares for premature and critically ill... ..., nutritionists, other health professionals and parents as members... ...or higher NICU Have/obtain a RN license to practice in the state... ...Uw Medicine - Where Your Impact Goes Further UW Medicine is Washington...Hourly payFull timeTemporary workWork at officeRelocation packageShift workNight shiftWeekend work$23 per hour
...every team member is empowered to make an impact. As a Patient Support Medical Billing... ...patients through co-pay cards, vouchers, and claims support. We invest in your success with... ...healthcare providers (HCPs) or patients, review supporting documentation, and vet each...ClaimsHourly payFull timeContract workWork at officeRemote workWork from home$23.41 per hour
...billing forms and electronic claims in accordance with... ...payment discrepancies Review and analyze payer denials... ...MEDICINE -- WHERE YOUR IMPACT GOES FURTHER UW Medicine is Washington's only health system that includes a... ...primary and specialty care to the people of the region...ClaimsHourly payFull timeTemporary workWork at officeLocal areaRemote workShift workDay shift- ...accurate and timely insurance claims (electronic and manual)... ...and corrected claims. Reviews and resolves billing... ...-focused, whole-person care built on understanding,... ...Business Management or health care administration.A... ...through physician clinics, education, research and...ClaimsMinimum wageFull timeLocal areaRemote workShift work
- About Nolia Health Founded in Seattle, Washington, Nolia... ...personalized, clinically-supported, and virtual-... ...their family caregivers or care partners. We understand... ...illnesses related to aging impact not only those... ...eligibility and submit claims. In-house scheduler to...ClaimsContract workPart timePrivate practiceRemote workFlexible hours
$2,190 per month
...Profession RN Specialty Outpatient Clinic Job ID 38... ...provides direct nursing care and support to patients... ...assessing current health status. Triage... ...accurate insurance claims. Infection Control... ...1.Health Insurance Impact: The overall...Weekly payImmediate startShift workNight shift$23 per hour
...is empowered to make an impact. As a Patient... ...pay cards, vouchers, and claims support. We invest in your... ...providers (HCPs) or patients, review supporting... ...leading global provider of clinical research services, commercial... ...and population health worldwide. Learn more at...ClaimsHourly payFull timeContract workPart timeWork at officeImmediate startRemote workWork from homeWorldwide$73.76k
...as important as the care happening at the... ...You'll help ensure claims are processed accurately... ...efficiency Review high-dollar and high... ...Partner with coding, clinical, patient access, utilization... ...make a measurable impact on both the patient... ...'s degree in Health Information Management...ClaimsFull timeWork at officeLocal areaShift workDay shift- ...scheduling, credentialing, and claims processing. High... ...Telehealth: Deliver virtual care safely from any private remote... ...Maintain complete, timely clinical progress notes within the EHR... ...with an unencumbered state APRN/RN license. Prescriptive Authority...ClaimsHourly payFull timePart timeRemote workFlexible hours
- Providence Swedish is seeking a remote Insurance Claims Billing Specialist to prepare, edit and submit accurate claims to Medicare, Medicaid... ...payers. The role supports primary and secondary claims, reviews edits in EPIC and a claims scrubber, and ensures timely filing....ClaimsRemote job
- ...report on post payment claims audits and performs related... ...). Familiarity with health care documentation systems.... ...competency in claim review and experience in using... .... Registered nurse (RN) license (must have a current... ...Outcomes Applies clinical expertise and judgment...ClaimsFull timeWork at officeRemote work
$23 per hour
...is empowered to make an impact. As a Patient Support... ...pay cards, vouchers, and claims support. We invest in... ...providers (HCPs) or patients, review supporting... ...leading global provider of clinical research services, commercial... ...and population health worldwide. Learn more at...ClaimsHourly payFull timeContract workPart timeWork at officeImmediate startRemote workWork from homeWorldwide$80 per hour
...is a comprehensive behavioral health solution that works with a network... ...to deliver high-quality care to individuals, couples, and families... ...late cancellations, & denied claims Why Join Rula? Our... ...highlights your specialities and clinical approach, making it easier for...ClaimsHourly payFor contractorsPrivate practiceWork at officeRemote work- ...sustainable practice. Under the guidance of our clinical leadership team, our strategy is rooted in evidence-based care with personalized treatment approaches. What... ...weekly payment for completed sessions, regardless of claim status we guarantee pay for no-shows....ClaimsBi-weekly payHourly payFull timeContract workPart timeWork at office
- Alpha Home Health & Hospice of King County is expanding its Home Health... ...RNs to provide skilled nursing care in patients' homes across the... ...scheduling, autonomy, and meaningful impact on patients and families.... ...and the care team. Washington RN license required. #J-18808-Ljbffr...Full timeFlexible hours
- ...Position Summary The Clinical Documentation Specialist RN [Registered Nurse],... ...responsible for the quality review of all OASIS... ...elements of the Plan of Care to ensure CMS... ...Improvement and Home Health leadership to promote... ...Meaningful Work: Make an impact every day by...Work from homeFlexible hours
$1,840 - $1,935 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Seattle, WA Agency: GQR Healthcare Pay: $1,840 to $1,935 per week Shift... ...your expertise and dedication are valued and make a real impact. We are a leading healthcare staffing provider, specializing...Hourly payWeekly payFull timeContract workImmediate startShift workNight shift$2,220 - $2,467 per week
...Registered Nurse (RN) | Flight Nurse Location: Seattle... ...airway management and trauma care. Perform Triage assessments... ..., travel therapy, allied health, and clinical laboratory professionals from... ...simplified, elevated, and impactful, for you and your patient....Weekly payFull timeContract workLocumImmediate start- ...staffing agency is seeking a dedicated Home Care Nurse in Seattle, Washington. The ideal... ...medical teams. A nursing degree and current RN or LPN license are essential, along with... ...role offers an opportunity to positively impact the lives of children and their families,...
$110k - $120k
...leaders in the fast-growing post-acute care industry. ESI provides service... ...will involve performing clinical compliance audits, conducting internal... ...associate and chief compliance officer, reviewing and analyzing medical records and/or claims to detect possible compliance or...ClaimsHome office$22.74 - $33.95 per hour
...background check. About Us Seattle Roots Community Health is a not-for-profit organization that operates two primary care clinics, an After-Hours Clinic, two School-Based... ...and ensuring timely and accurate submission of claims. This position involves direct interaction with...ClaimsHourly payWork experience placementWork at officeLocal areaFlexible hours- Providence at Home with Compassus is seeking a Hospice Registered Nurse (RN) to deliver compassionate, patient-centered care in patients’ homes. You will assess needs, provide nursing care per the full nursing process, and work closely with the Interdisciplinary Group (...Part timeWeekend work
- Kaiser Permanente in Seattle, WA is seeking an experienced OR RN for the Surgery unit. The role focuses on providing nursing care to patients undergoing surgical procedures and collaborating with the healthcare team. You will perform assessments, develop care plans, educate...Full time
- Providence at Home with Compassus is seeking a Home Health RN to visit patients in their homes, provide skilled nursing care, and help patients manage their health while remaining independent at home. You will assess conditions, educate patients and families, manage individualized...Flexible hoursDay shift
- Providence Swedish is hiring a Registered Nurse (RN) to provide professional, comprehensive care in an acute care setting in Seattle, Washington. You will deliver coordinated, safe, compassionate, evidence-based nursing care to patients and families, aligned with state...
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