Remote RN Medical Reviewer: Claims & Compliance
Broadway Ventures
New York, NY
- Remote job
Broadway Ventures, a veteran-owned SDVOSB headquartered in Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals. You will apply clinical expertise and established guidelines to determine medical necessity and support accurate payment determinations. The role is remote and full-time, requiring an active RN license and at least two years of clinical experience in managed care or related settings. #J-18808-Ljbffr Broadway Ventures
Vacancy posted 2 days ago
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