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

Remote RN: Clinical Review & Billing Specialist

Registered Nurse

Brooklyn, NY
  • Remote job

Optum is seeking a Clinical Review Clinician to serve as a subject matter expert in itemized bill reviews and hospital facility billing adjustments. The role involves clinical claim review, medical record evaluation, and research to support Forensic Reviews for clients, with telecommuting from anywhere in the U.S. The position emphasizes strong documentation and adherence to HIPAA standards. #J-18808-Ljbffr Registered Nurse

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote RN: Clinical Review & Billing Specialist in Brooklyn, NY vacancy
  • Optum is seeking a Clinical Review Clinician to serve as a subject matter expert in itemized bill reviews and hospital facility billing adjustments. The role involves clinical claim review, medical record evaluation, and research to support Forensic Reviews for clients... 
    Remote job

    Registered Nurse

    Minneapolis, MN
    2 days ago
  • 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

    Colorado Psychiatric

    Minneapolis, MN
    3 days ago
  • 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

    Sustainable World, Inc.

    Minneapolis, MN
    3 days ago
  • 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

    University of Minnesota School of Nursing

    Minneapolis, MN
    3 days ago
  • Optum, a part of UnitedHealth Group, is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part of forensic reviews...  ...telecommute flexibility within the U.S. and requires RN or LPN licensure and clinical experience. You will... 
    Remote job

    Registered Nurse

    Minneapolis, MN
    3 days ago
  • 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

    Palo Verde Community College District

    Minneapolis, MN
    1 day ago
  • 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 reviewer documents, researches and identifies adjustments for payment as part of a team preparing... 
    Remote job

    Anacalifornia

    Minneapolis, MN
    2 days ago
  • 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 job
    Home office

    Registered Nurse

    Minneapolis, MN
    1 day ago
  • 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

    Palo Verde Community College District

    Minneapolis, MN
    3 days ago
  • $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 work
    Hourly pay
    Contract work
    For contractors

    Vatica Health

    United States
    2 days ago
  • $29 - $52 per hour

     ...Clinical Review Clinician Optum is a global organization that delivers care, aided by technology...  ...as a subject matter expert for itemized bill reviews and analyzing hospital facility bills...  ...'s degree ~ Active and unrestricted RN license OR LPN in the state of residence... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area

    UnitedHealthcare

    United States
    2 days ago
  • 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, research, and identify adjustments for payments as part of a team preparing Forensic Reviews for... 
    Remote job

    Sacbar

    Minneapolis, MN
    3 days ago
  • $29 - $52 per hour

     ...Program Integrity Clinical Compliance Auditor Optum...  ...performing compliance reviews of medical and administrative...  .... This position is Remote in Massachusetts. You...  ...~ Nurse licensure (RN or LPN) with a current,...  ...information, and healthcare billing practices Experience... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Contract work
    Work experience placement
    Live in
    Local area
    Monday to Friday
    Shift work

    divvyDOSE

    United States
    4 days ago
  •  ...improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our...  ...professionally. Position Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member will serve as the... 
    Remote work
    Contract work

    Comagine

    United States
    2 days ago
  • 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

    University of Minnesota School of Nursing

    Minneapolis, MN
    1 day ago
  • 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

    University of Minnesota School of Nursing

    Minneapolis, MN
    3 days ago
  • $31 - $35 per hour

     ...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations...  ...Important to know about this role: This is a 100% remote role, and requires robust internet speeds (above 50 megabytes... 
    Remote work
    Full time
    Flexible hours
    Shift work

    Cohere Health

    United States
    5 days ago
  • 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

    TEEMA Solutions Group

    Phoenix, AZ
    2 days ago
  • 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, research, and identify adjustments as part of a team preparing Forensic Reviews for clients.... 
    Remote job

    Palo Verde Community College District

    Minneapolis, MN
    2 days ago
  • 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

    ISHE

    Minneapolis, MN
    3 days ago
  • $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 job
    Hourly pay

    kozmetickesluzby.vecnakraska.sk - Jobboard

    New York, NY
    3 days ago
  • 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, and identifying adjustments needed for payment as part of a team preparing Forensic Reviews for... 
    Remote job

    Texas Health Institute

    Minneapolis, MN
    3 days ago
  • 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 job
    Full time
    Contract work

    Palo Verde Community College District

    Brooklyn, NY
    4 days ago
  • NTT DATA, Inc. in Tampa, Florida seeks a BPO Clinical Review Specialist to perform clinical and medical necessity reviews supporting member and provider...  ...compliance with NCQA standards and Medicaid guidance. This remote Florida role offers benefits including medical, dental and... 
    Remote job

    NTT DATA, Inc.

    Tampa, FL
    5 days ago
  • 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... 
    Remote job

    NHSHP

    Minneapolis, MN
    2 days ago
  • $28.94 - $51.83 per hour

     ...Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area
    Home office

    Genoa Telepsychiatry

    Minneapolis, MN
    18 hours ago
  • UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims, documenting determinations and maintaining screening criteria. The role supports telecommuting from anywhere in the U.S. and requires... 
    Remote job
    Work at office

    Sacbar

    Minneapolis, MN
    5 days ago
  • Optum Insight is seeking a Clinical Claim Review RN to perform compliance reviews of medical and administrative documentation to identify fraud...  ...audit systems. The position is full-time (40 hours/week) with remote work options in Massachusetts and potential overtime.... 
    Remote job
    Full time
    Local area

    Texas Health Institute

    Brooklyn, NY
    3 days ago
  •  ...among the first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management Location:...  ...) Clinical Program Coordinator RN *Remote* Clinical Program Coordinator RN *Remote...  ...) RN Clinical Document Integrity Specialist Oregon, United States $150,000.00-$30... 
    Remote work
    Contract work

    Metasys Technologies

    Duluth, GA
    3 days ago
  • $32 - $33 per hour

     ...experience to contribute, we are committed to making your unique situation fit into our culture. We have an opening for a: RN - Clinical Field Reviewer (Remote in Montana) The RN Clinical Field Reviewer is a remote position that requires in-home nursing assessments which... 
    Remote work
    Full time
    Temporary work
    Local area

    Mountain Pacific

    Montana
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN: Clinical Review & Billing Specialist. Be the first to apply!