Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote RN Claims Reviewer

Federal Hearings And Appeals

New York, NY
  • Remote job

Federal Hearings And Appeals is seeking a Remote RN Claims Reviewer to evaluate medical claims, determine approvals, denials, and appeals. You will review medical records, apply Medicare regulations, and cite supporting documentation from the case file. Responsibilities include drafting narrative decisions, coding awareness, and maintaining professional licensure with a strong emphasis on accuracy and regulatory compliance. Travel is limited and training sessions are available as needed. #J-18808-Ljbffr Federal Hearings And Appeals

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote RN Claims Reviewer in New York, NY vacancy
  • $35 - $40 per hour

     ...engagement, provider solutions, payment integrity, claims cost containment, and analytics. Job Title RN Utilization Management Reviewer Responsibilities Conduct timely clinical...  ...Time; may require weekends. Location: Fully remote work at home role. Secure, private area with... 
    Remote work
    Claims
    Hourly pay
    Temporary work
    Monday to Friday
    Flexible hours
    Weekend work

    Sagility LLC

    New York, NY
    21 hours ago
  • $35 - $40 per hour

     ...provider solutions, payment integrity, claims cost containment, and analytics....  ...employees across 5 countries. Job title: RN Utilization Management Reviewer Job Description: We are currently...  ...require weekends This is a fully remote work at home role. You must have a secure... 
    Remote work
    Claims
    Hourly pay
    Temporary work
    Currently hiring
    Monday to Friday
    Flexible hours
    Weekend work

    Sagility

    New York, NY
    21 hours ago
  • Healing Strides Counseling seeks a qualified RN with coding expertise to review medical claims, evaluate records, and apply Medicare rules. The role involves regulatory interpretation and narrative decision writing, with attention to quality standards. The position may... 
    Remote job
    Claims

    Healing Strides Counseling

    Wilkes Barre, PA
    2 days ago
  • $68.64k - $72.8k

     ...Opportunity Overview: The RN Reviewer position is a crucial role in our organization — in...  ...communication and collaboration skills across remote teams Customer-focused mindset and...  ...authorization data with post-service claims validation, we’re creating a transparent... 
    Remote work
    Claims
    Hourly pay
    Full time
    Flexible hours
    Shift work
    Weekend work

    Cohere Health

    Remote
    9 days ago
  •  ...cases to the Medical Director for review. Refer to and work closely...  ...pricing, coding, researching claims to ensure accurate application...  ...Associates degree and active NYS RN license required. Bachelors...  ...There may be opportunity for remote work within all jobs posted by... 
    Remote work
    Claims
    Contract work
    Work at office

    Capital District Physicians Health Plan Inc

    Albany, NY
    2 days ago
  •  ...Board Certified Physician Reviewers - Reproductive Endocrinology/Infertility Remote Networking- Physician Recruitment Contract Board-Certified Neurologist...  ...HR - Corporate Hiring Full time Disability Claims QA Specialist Disability Claims QA Specialist... 
    Remote work
    Claims
    Full time
    Contract work
    For contractors

    Dane Street

    United States
    15 hours ago
  •  ...Working remotely, the Document Specialist will manage and streamline document workflows, ensuring accuracy, efficiency, and...  ...compliance while processing and quality-checking documents and reviewing incoming claims. Key responsibilities Manage document workflows, including... 
    Remote work
    Claims
    Work at office

    Virtual Vocations Inc

    United States
    15 hours ago
  •  ...seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong...  ...review)Experience with DRG Validation, CDI, or claims review strongly preferredProven ability to interpret... 
    Remote work
    Claims

    Med Review Inc

    New York, NY
    3 days ago
  •  ...Intercare, InterMed, George Hills, and AS&G Claims Administration, we're a people-focused,...  ...to clarify information.Forwards to Bill Review supervisor any unidentifiable unlisted procedure...  ...in Texas but are able to work fully remote.Education and/or ExperienceHigh school... 
    Remote work
    Claims
    16 hours
    Shift work

    Intercare Holdings Insurance Services

    Austin, TX
    3 days ago
  • $22 - $28 per hour

     ...our customers. SUMMARY The Auditor reviews completed Workers’ Compensation premium audits...  ...systems. Review late-reported claims identified during audits and verify whether...  ...Ability to work independently in a hybrid or remote environment while managing multiple... 
    Remote work
    Claims
    Hourly pay
    Work at office
    Local area

    Brown & Brown

    Encinitas, CA
    1 day ago
  • $82.72k - $120.63k

     ...We're hiring an Associate, Itemized Bill Reviewer to join our Payment Integrity team. Oscar...  ...of the solutions. You will ensure claims are paid accurately and timely with the highest...  ...Work Location: This position is fully remote and open to candidates residing in the U.... 
    Remote work
    Claims
    Full time
    Contract work
    Work from home
    Home office

    Oscar Health

    Remote
    7 days ago
  • J29 is seeking a Medical Reviewer, Coder for a temporary seasonal role in Maryland. The position...  ...and complex reviews of Medicare FFS claims to assess payment accuracy and compliance...  ...in a productivity-based environment, and remote-work capability across systems. Certification... 
    Remote job
    Claims
    Temporary work
    Seasonal work

    J29

    Gambrills, MD
    15 hours ago
  • $50 - $52 per hour

    A healthcare consultancy is seeking a Claims Clinical Documentation Reviewer for a part-time, remote role. The ideal candidate will possess a background in behavioral health services and a strong skill set in clinical documentation review. Responsibilities include reviewing... 
    Remote job
    Claims
    Hourly pay
    Part time
    Flexible hours

    Talent Software Services, Inc.

    Phoenix, AZ
    1 day ago
  • OpenTrain AI, Inc. seeks a Senior Claims Investigation and Evidence Review Expert for a remote, part-time contractor role. You will review CCTV, photos, statements, and reports to assess fraud indicators and causation, and to support AI training efforts. You will train... 
    Remote job
    Claims
    Part time
    For contractors

    OpenTrain AI, Inc.

    New York, NY
    3 days ago
  •  ...physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload...  ...: Utilizes clinical expertise, and reviews disability claims by providing an interpretation of the medical appropriateness of... 
    Remote work
    Claims
    For contractors
    Monday to Friday

    Dane Street

    United States
    4 days ago
  • $35 - $40 per hour

    J29, Inc. is seeking a Medical Reviewer, Coder for a temporary seasonal assignment of up to six months. The role is remote, with an hourly rate of $35-$40. You will review Medicare FFS claims to identify overpayments and ensure correct payments under CMS rules. You’ll... 
    Remote job
    Claims
    Hourly pay
    Temporary work
    Seasonal work
    Local area

    J29, Inc

    Salem, OR
    2 days ago
  • Devoted Health seeks a licensed dental hygienist to perform first-level clinical reviews of dental claims and pre-treatment estimates within its Clinical Operations team. You will review radiographs, charting, and narratives to ensure compliant utilization management and... 
    Remote job
    Claims

    Devoted

    New York, NY
    4 days ago
  • $248.92k - $311.15k

     ...Position Title: Physician Reviewer Location: Montebello, CA 90640 Description Grow...  ...review and make recommendations on retro claims reviews for outpatient authorization, inpatient...  ...accuracy of the background report. Remote Type: Remote About US: As the... 
    Remote work
    Claims
    Local area
    Flexible hours

    AltaMed Health Services

    Los Angeles, CA
    4 days ago
  •  ...join our Clinical Operations team as a first-level clinical reviewer for dental claims and pre-treatment estimates. You will apply ADA CDT coding,...  ...high-quality care and strong provider relations. This remote, full-time role offers a competitive salary, comprehensive... 
    Remote job
    Claims
    Full time

    Devoted Health Services

    New York, NY
    1 day ago
  • $85k - $90k

     ...Validation, Cost Outlier, and Readmission Reviews. Under the direction of the DRG...  ...DRG Reviewer conducts reviews of inpatient claims to ensure coding accuracy and appropriate...  ...support coded diagnoses. This is a fully remote position. Candidates must be available to... 
    Remote work
    Claims

    MedReview

    New York, NY
    1 day ago
  •  ...Home Health Coder and Oasis Reviewer Manila Metro Manila Type...  ...documentation quality and reduce claim denials Key...  ...and accuracy. Preferred: RN LPN or other clinical licensure...  ...Work Environment & Schedule Remote work must have secure high-speed... 
    Remote work
    Claims
    Full time
    Work at office
    Work from home
    Flexible hours

    Pathwell Health

    Manila, UT
    3 days ago
  • Computational Biology AI Reviewer is a remote review track for evaluating AI outputs across biology reasoning, calculations, and research workflows...  ...sanity-check key derivations, calculations, or experimental claims. Flag dimensional, methodological, and citation errors with... 
    Remote work
    Claims
    Hourly pay
    For contractors
    10 hours per week

    AuraOne, Inc.

    New York, NY
    2 days ago
  •  ...Role We're seeking a Mobile Casino Game Reviewer who is passionate about gaming and deeply...  ...discover fair, fun, and mobile-first games. Remote Flexibility: Work from anywhere in the...  ...potential deal-breakers. Evidence-Based Claims: Back impressions with observations (e.g.... 
    Remote work
    Claims
    Seasonal work

    USA Mobile Casinos

    New York, NY
    1 day ago
  • Devoted Health is seeking a licensed dental hygienist to join its Clinical Operations team as a Dental Claims Reviewer. You will perform first-level clinical reviews of dental claims and pre-treatment estimates using established guidelines and delegated authority. You will... 
    Remote job
    Claims

    Devoted Health Services, Inc

    Waltham, MA
    4 days ago
  • Review high-dollar facility itemized bills for billing errors and policy violations. Ensure claims are paid accurately and timely with high quality. What You'll Do: Leverage coding expertise and Oscar's claim infrastructure to identify issues. Collaborate cross-functionally... 
    Remote job
    Claims

    Oscar Health, Inc.

    New York, NY
    4 days ago
  • Overjet is seeking a Board-Certified Periodontist to review dental insurance claims remotely. The role requires 5+ years of clinical experience, licensure in Florida, and familiarity with CDT codes. The position is a part-time, 1099 contractor arrangement with 5-10 hours... 
    Remote job
    Claims
    Part time
    For contractors

    Overjet

    New York, NY
    1 day ago
  • This role on the Complex Claims team is pivotal in managing document workflows for accuracy and compliance. You will process and quality-check documents, review claims, and ensure proper routing and status assignment. What You'll Do: Manage document workflows, processing... 
    Remote job
    Claims
    Work at office

    Machinify, Inc.

    New York, NY
    3 days ago
  • Overjet is seeking a Board-Certified Oral Surgeon to review dental insurance claims remotely as part of our dental AI platform. This part-time, 1099 contractor role requires a Florida license and strong clinical experience. You will apply clinical expertise to assess medical... 
    Remote job
    Claims
    Part time
    For contractors
    Flexible hours

    Overjet

    New York, NY
    1 day ago
  •  ...Physician Peer Reviewer – Endocrinology Federal Hearings and Appeals Services (FHAS) is a...  ...licensed to assist with independent review claims and appeals in any of the following...  ...years, if performing external reviews Job Type Contract Work Location Remote... 
    Remote work
    Claims
    Contract work
    Work experience placement
    Work at office

    Federal Hearings And Appeals

    Rhode Island
    2 days ago
  •  ...A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing... 
    Remote work
    Claims
    Full time

    Innovative Systems Group

    Richardson, TX
    15 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN Claims Reviewer. Be the first to apply!