Remote Home Health RN - Medical Claims Reviewer
Broadway Ventures
Broadway Ventures is seeking a Remote Home Health RN to join their Medical Review team. The role focuses on conducting medical reviews to ensure compliance with clinical guidelines. Ideal candidates must have an active RN license and clinical experience in Home Health or Medical Review. Responsibilities include reviewing medically complex claims, providing rationale for coverage decisions, and supporting quality control activities. This full-time position promotes a collaborative environment and offers necessary equipment for remote work. #J-18808-Ljbffr
- ...Registered Nurse: Review and Evaluation Are... ...of working from home, the flexibility and... ...to review and audit claims, support program integrity... ...to analyze medical records, documentation... ...Registered Nurse (RN) license Strong... ...vulnerable populations Remote work enjoy the...Remote jobWork from homeClaims
- A leading claims administration partner is seeking a Workers Comp Field Case... ...interact with injured workers and medical providers. The ideal candidate must be an RN with at least 1.5 years of case... ...offers flexibility and autonomy with home-based office options and requires...Remote jobWork from homeClaimsWork at office
$80k - $95k
A leading risk and claims administration partner is seeking experienced Workers Comp Field... ...in Springfield, IL. This role requires an RN and involves facilitating care for injured... ...Compensation Case Management. The position offers a home-based office environment with frequent...Remote jobWork from homeClaimsWork at office- Enlyte is seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization... ...role requires clinical judgment to ensure medical necessity, collaboration with providers and claims adjusters, and staying current with industry...Remote workWork from homeClaims
- ...Services & Insurance RN Field Case Manager *... ...injured workers and medical providers to... ...you will maintain a home-based office. **ARE... ...making an impact on the health and lives of others, and a remote work environment that... ...'s leading risk and claims administration partner...Remote workWork from homeClaimsLive inWork at office
- ...Services & Insurance RN Field Case Manager *... ...injured workers and medical providers to... ...you will maintain a home-based office. **ARE... ...making an impact on the health and lives of others, and a remote work environment that... ...'s leading risk and claims administration partner...Remote workWork from homeClaimsLive inWork at office
- ...freedom of working from home, theflexibility... ...setting to review and audit claims, supportprogram integrity... ...to analyze medical records, documentation... ...Registered Nurse (RN) license Strong... ...vulnerable populations Remote work - enjoy the... ...assistance, health care services or...Remote workWork from homeClaimsFull timeTemporary workWork at office
- ...Medical Coder, Remote Bellatrix HRM, Inc, is a Women Owned Small Business... ...for a legitimate work from home position while serving our soldiers... ...codes, and creating a claim to be paid by insurance carriers... ..., an accredited registered health information administrator or...Remote workWork from homeClaimsContract work
- ...flexibility and comfort of working from home. Job Title Inpatient Coding Specialist Responsibilities... ...10‑CM and ICD‑10‑PCS coding to inpatient claims. Maintain coding quality of 95% or... ...coding in an acute care setting. Utilize remote‑based connectivity, including VPN, MFA,...Remote workWork from homeClaimsFull time
$66.58k - $142.58k
...RN Case Manager We're building a world of health around every individual — shaping a more... ...Manager position is 100% remote and candidates are... ...members to evaluate the medical needs of the member... ...and information/data review (e.g., assessments, claims, etc..) conducts an evaluation...Remote workWork from homeClaimsHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayFlexible hours- ...Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted... ...Location: Remote (Work From Home) Job Type: Independent... ...Cycle Management • Insurance Claims Processing • Medical Coding... ...-10, CPT, and HCPCS codes Review documentation for coding...Remote workWork from homeClaimsFull timeContract workPart timeFor contractorsFlexible hours
- ...Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking... ...involving medical claim processing, coding, and administrative... ..., and eager to work from home, this could be the right opportunity... ...-10, CPT, and HCPCS codes Review documentation for coding...Remote workWork from homeClaimsFor contractorsFlexible hours
- ...Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking... ...involving medical claim processing, coding, and administrative... ..., and eager to work from home, this could be the right opportunity... ...-10, CPT, and HCPCS codes Review documentation for coding...Remote workWork from homeClaimsFor contractorsFlexible hours
- ...Remote Case Manager RN CORE Health Networks, the recognized leader in Integrated... ...Nurse) to work from home Monday through... ...exciting opportunity, review the job... ...Insurance adjusters, Medical providers, and clinic... ..., adjuster name and claim number into Billing...Remote jobWork from homeClaimsFull timeTemporary workWork at officeImmediate startMonday to FridayDay shiftAfternoon shift
- ...more exclusive features. Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-... ...discrepancies in coding, reviewing and correcting rejected claims from third-party carriers, and... ...Ability to work independently in a remote environment Strong...Remote workWork from homeClaimsFull timeWork at officeShift work
$54.1k - $155.54k
...building a world of health around every... ...Summary This is a remote work from home role anywhere in the... ...Holding, Inc (AHH) is a medical management company... ...benefit overall claim management. Using... ...medical necessity reviews. Required... ...setting. The AHH RN Case manager position...Remote workWork from homeClaimsHourly payFull timeLocal areaFlexible hours- ...Employee discounts Health insurance Paid... ...an experienced Medical Biller and Coder to... ...Woodlands, TX. Fully remote candidates will not... ...HCPCS coding systems • Review and audit daily... ...and submit insurance claims to payers in a... ...Flexible work from home options available....Remote workWork from homeClaimsMonday to FridayFlexible hours
- ...Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare is... ...vaccine- and countermeasure-related injury claims. These programs provide compensation... ...OR advanced degree (e.g., NP, PA, RN). At least 3 years of experience conducting...Remote workClaimsHourly payContract work
- ...subject matter expert in medical coding and DRG... ...detailed retrospective claims reviews, provide expert-level... ...thrives in a fast-paced, remote environment and is passionate... ...within managed care, health insurance, or private... ...Independent home office work environment...Remote workWork from homeClaimsFull timeWork at officeHome office
$80k - $90k
...and efficiency to health plans. Deployed by... ...Range: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible for... ...research, analyzes claims data, applies... ...work independently in remote setting with minimum... ...speed Internet at your home office location is...Remote workWork from homeClaimsFor contractorsImmediate startHome officeFlexible hoursShift work$85k - $91k
...affordable, improve the health of patients, and... ...leverages remotely-embedded Healthguides... ...Serving as a secondary reviewer to ensure... ...computer programs, medical records, and other... ...LOVE YOU TO HAVE Claims processing experience... ...: Work from Home: Guidehealth is a...Remote jobWork from homeClaimsBi-weekly payFull timeTemporary workFor contractorsLocal area$48.3k - $65.9k
...Medical Coding Coordinator Code Edit Disputes team reviews and educates providers when there is... ...dispute on adjudicated claims that contain a... .... This is a remote position from anywhere... ...: remote, work at home. While this is a... ...achieve their best health – delivering the...Remote workWork from homeClaimsBi-weekly payTemporary workApprenticeshipHome officeMonday to Friday- ...Position Title: Medical Reviewer (Medical Affairs - Rheumatology) Duration: 6 Months (Possibility... ...and budget) Location: 100% Remote (No travel or onsite attendance required... ...commercial teams to validate promotional claims, support scientific messaging, and...Remote workClaimsFull timeContract workImmediate start
$7.25 per hour
...94 Summary Performs medical reviews using clinical/medical... ...and review of medical claims and utilization practices... ...and can be worked remotely. You will work an 8-hour... ...quality assurance, or home health, OR 3 years clinical.... ...Active, unrestricted RN licensure from the United...Remote workWork from homeClaimsHourly payFull timeFor contractorsWork experience placementWork at officeLocal areaMonday to FridayShift work$48.3k - $65.9k
...Edit Disputes team reviews and educates providers... ...on adjudicated claims that contain a code... ...financial recovery. The Medical Coding Coordinator... ...to offer a remote opportunity for this... ...STYLE: Remote, work at home. While this is a remote... ...achieve their best health – delivering the...Remote workWork from homeClaimsBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork at officeHome officeMonday to Friday$63k - $65k
...Financial Services & Insurance RN Utilization Review As a nurse at Sedgwick,... ...management of complex medical conditions, treatment... ...an impact on the health and well-being of others in a remote work environment. Enjoy... ...effectively with physicians, claims examiners, clients,...Remote workClaimsFull timeWork experience placementLocal areaFlexible hours- ...Unleash Your Potential: Remote PMHNP - Flex Scheduling... ...Psychiatric Mental Health Nurse Practitioner (PMHNP... ...the comfort of your own home? Seasoned Recruitment is... ...Provide expert medication management and therapeutic... ...companies to pay your claim Full Back-Office Support...Remote workWork from homeClaimsBi-weekly payFor contractorsFlexible hours
- ...Medical Reviewer, RN About J29 J29, Inc. (J29) has been supporting... ..., State, and Federal health and human service... ...and analysis of medical claims, records, data, and... ...Part A/B, DMEPOS, and Home Health/Hospice—to assess... ...~3+ years working remotely with various technology...Remote workClaimsFull timeFor contractorsLocal area
$90k - $110k
...Job Description Job Description Description: Job Role The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment...Remote jobClaimsTemporary workCasual workWork at office- A leading medical service provider in Washington, DC is seeking a DME Medical Reviewer to ensure compliance with nursing standards and provide... ...candidate must hold an active RN license and have at least two... ...audits. The role emphasizes remote work capabilities and...Remote work
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