Remote RN: Clinical Review & Medical Billing Analyst
NHSHP
- Remote job
UnitedHealth Group is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part of Forensic Reviews for specific clients. This role involves HIPAA compliance, bill review, and clinical claim assessment. You will work with a team to ensure accurate reviews, with telecommuting flexibility across the U.S. The position emphasizes documentation, research, and collaboration with internal partners. #J-18808-Ljbffr NHSHP
- ...About This Opportunity: As a Clinical Bill Review Analyst, you’ll review claims upfront and take... ...Things You’ll Do Here : Review medical bills to identify appropriate billing... ...Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary...Remote workFull timeImmediate startFlexible hours
- ...Operations Analyst The position serves as a subject-matter expert for Medical Bill Review (MBR) operations, providing advanced production support, driving process improvements... ..., vendors, or related internal teams (Clinical Validation, Negotiations, OU adjusters,...Remote workFull time
- CorVel Corporation invites applications for a remote Bill Review Analyst to review and audit medical bills across multiple states, ensuring alignment with state fee schedules and client guidelines. You will enter data accurately and maintain high quality across a fast-...Remote jobWork at office
$13.38 - $23.42 per hour
...Job Description Job Description The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for multiple states and lines of business. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$69.3k - $78k
Overview Medical Review Nurse II - Clinical Validation At Performant, we’re focused on... ...prevent losses due to errant billing practices. We are the... ...Commercial Payers. You will work remotely in a fast paced and... ...Qualifications Active unrestricted RN license in good standing,...Remote workFor contractorsWork at officeWork from homeHome officeShift work- UnitedHealth Group's Optum is seeking a Clinical Review Clinician to act as a subject matter expert in itemized bill reviews and hospital facility bills. You will document and research adjustments for Forensic Reviews for specific clients. This role offers telecommuting...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician to perform forensic reviews of hospital facility bills and document adjustments with clinical accuracy. You will analyze charge details, compare to guidelines, and participate in negotiations and appeals within...Remote job
- UnitedHealth Group seeks a Clinical Review Clinician to analyze itemized hospital bills and document adjustments for forensic reviews. Telecommute from anywhere in the U.S. The role requires clinical experience, RN or LPN license, and bill review knowledge. You will support...Remote job
- Optum is hiring a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis. The role involves documenting... ..., and supporting negotiations and appeals. Remote work is available nationwide with full benefits...Remote job
- UnitedHealth Group's Optum is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analyses. You will... ...and requires an associate degree, active RN or LPN license, and 2+ years of clinical experience...Remote job
- ...UnitedHealth Group, is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part... ...flexibility within the U.S. and requires RN or LPN licensure and clinical... ...will perform bill review, review medical records, and ensure HIPAA...Remote job
- Optum Insight is seeking a Clinical Claim Review RN to perform compliance reviews of medical and administrative documentation to identify fraud or wasteful practices... .... The position is full-time (40 hours/week) with remote work options in Massachusetts and potential...Remote jobFull timeLocal area
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and to document all determinations. The role emphasizes adherence to Federal, State and client requirements in a telecommuting setting...Remote jobHome office
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and document determinations. This role offers telecommuting from anywhere in the U.S. while maintaining rigorous screening criteria and...Remote job
- Optum, a UnitedHealth Group company, seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bills. The clinical... ..., leveraging your clinical claim review and medical record review knowledge, while maintaining...Remote job
$35 - $50 per hour
...seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for... ...contractors, focusing on chart reviews and clinical data analysis. Candidates should have an active RN license, at least 3 years of adult health...Remote workHourly payContract workFor contractors$29 - $52 per hour
...Clinical Review Clinician Optum is a global organization that delivers... ...subject matter expert for itemized bill reviews and analyzing... ...including clinical claim review, medical record review, and a broad... ...~ Active and unrestricted RN license OR LPN in the state of...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area- Optum is seeking a Clinical Review Clinician to act as a subject matter expert for itemized bill reviews and hospital facility bills. This role involves documenting, researching, and identifying adjustments for payment as part of a team preparing Forensic Reviews for specific...Remote job
$29 - $52 per hour
...Program Integrity Clinical Compliance Auditor... ...performing compliance reviews of medical and administrative... ...Resolution Analyst will conduct site... ...This position is Remote in Massachusetts.... ...Nurse licensure (RN or LPN) with a current... ...information, and healthcare billing practices...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- UnitedHealth Group is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis. You will document... ...understanding claim review processes, medical record review, and applicable billing guidelines...Remote job
- ...delivery and patient outcomes. Our talented remote workforce spans the country and plays... ...Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member... ...and guidelines to determine the medical necessity of health care services....Remote workContract work
- UnitedHealth Group seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and analysis of hospital facility bills. The role involves... ...anywhere in the U.S. The position requires RN or LPN licensure, 2+ years clinical experience...Remote job
- UnitedHealth Group seeks an experienced SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims. The role requires documenting determinations and maintaining screening criteria, contributing to efficient, compliant health...Remote job
$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting... ...management operations by conducting medical necessity reviews, preparing clear... ...applications This is a 100% remote role, and requires robust internet speeds...Remote workFull timeFlexible hoursShift work- A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong analytical mindset and a minimum...Remote job
- Optum is hiring a Clinical Review Clinician to act as a subject matter expert for itemized bill reviews and hospital facility bills. The role includes documenting, researching... ...performing Forensic Reviews, reviewing medical records, and ensuring HIPAA privacy standards....Remote job
- ...Billing And Coding Analyst Under general direction this position is responsible... ...within the Ambulatory Care Clinic System. The clinic areas of... ...is a bridge between the Medical Billing Specialist series and... ...former is responsible for reviewing the accuracy of billing codes...Full timeTemporary workFixed term contractWork at officeImmediate start
- UnitedHealth Group seeks a Clinical Review Clinician to serve as the subject matter expert for itemized bill reviews and analysis of hospital facility bills. You will document... ...the claim review process, clinical review, medical record review, and billing guidelines. #J-18...Remote job
$45 - $50 per hour
...Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting... ...of accredited nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby.vecnakraska.sk...Remote jobHourly pay- Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective...Remote jobFull timeContract work
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