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Remote Medical Reviewer - RN (Claims & Utilization)

BROADWAY VENTURES, LLC

Charlotte, NC
  • Remote job

Broadway Ventures is seeking a Medical Reviewer for a remote role handling various claims (Radiology, Ambulance, Physical Therapy, Surgical). You will apply clinical data and Medicare guidelines to determine medical necessity and payment decisions, documenting rationale clearly. Minimum requirements include an active RN license in the U.S., an Associate’s degree, and 2+ years in clinical work with utilization/medical review. #J-18808-Ljbffr BROADWAY VENTURES, LLC

Vacancy posted 4 days ago
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