Remote Clinical Review RN - Forensic Billing Expert
UnitedHealth Group
- Remote job
UnitedHealth Group is seeking a Clinical Review Clinician in Plymouth, Minnesota. This role involves conducting forensic reviews of hospital bills and claims while ensuring compliance with billing guidelines. Candidates should have an Associate's degree, an active RN or LPN license, and at least 2 years of clinical experience. Benefits include paid time off, medical plans, and a comprehensive benefits package. Enjoy flexibility to telecommute from anywhere within the U.S. #J-18808-Ljbffr UnitedHealth Group
- 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... ...adjustments as part of a team preparing Forensic Reviews for clients. You will enjoy limited...Remote job
- Optum is seeking a Clinical Review Clinician to serve as a subject matter expert in itemized bill reviews and clinical claim analysis. The role involves documenting, researching... .... Responsibilities include conducting Forensic Reviews, analyzing billing details, and...Remote job
- ...part of UnitedHealth Group, is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part of forensic reviews for clients. The role offers... ...flexibility within the U.S. and requires RN or LPN licensure and clinical experience...Remote job
- UnitedHealth Group's Optum is seeking a Clinical Review Clinician to act as a subject matter expert in itemized bill reviews and hospital facility bills. You will document and research adjustments for Forensic Reviews for specific clients. This role offers telecommuting...Remote job
- 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
$29 - $52 per hour
...Clinical Review Clinician Optum is a global organization that delivers... ...serves as a subject matter expert for itemized bill reviews and analyzing... ...contributes to the preparation of Forensic Reviews for specific... ...~ Active and unrestricted RN license OR LPN in the state...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area- Optum, a UnitedHealth Group company, seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis.... ...identify adjustments for payment as part of Forensic Reviews for clients. This telecommute-friendly...Remote job
$29 - $52 per hour
...Caring. Connecting. Growing together. The Clinical Claim Review RN will be responsible for performing... ...with your schedule. This position is Remote in Massachusetts. You will have the... ...provider information, and healthcare billing practices Experience working in a remote...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- ...role, you'll use your clinical knowledge outside ofthe... ...traditional bedside setting to review and audit claims,... ..., documentation, and billing data Collaborate with... ...unrestricted Registered Nurse (RN) license Strong... ...populations Remote work - enjoy the convenience...Remote workFull timeTemporary workWork at officeWork from home
- ...role, you'll use your clinical knowledge outside ofthe... ...traditional bedside setting to review and audit claims,... ..., documentation, and billing data Collaborate with... ...unrestricted Registered Nurse (RN) license Strong... ...populations Remote work - enjoy the convenience...Remote workFull timeTemporary workWork at office
- WPS Health Solutions is hiring an Appeals Nurse to review medical records and claims for first-level Medicare appeal... ...medically reviewed. Qualifications include an active RN license (state of practice), 1+ years clinical experience, and strong communication skills. #J-1880...Remote job
- Providence Home Services Oregon is seeking a Clinical Documentation Specialist RN to perform OASIS and Plan of Care reviews for CMS compliance, working remotely with day shifts and weekdays. The... ...Health leadership and acts as Oasis expert and consultant across the region....Remote jobDay shiftWeekday work
- ...CorVel Corporation, is seeking an Itemization Review Nurse for a remote role in the United States. The nurse... ...analyzes charges on UBIB submissions to ensure billing accuracy and documents conclusions in the company system. Requires RN licensure and 5+ years in OR/ICU/ER;...Remote job
- ...YO AI Labs seeks an Oncology and Hematology expert to remotely contribute to a healthcare AI project. You will review clinical content, assess trial data, and provide expert medical judgment to refine AI models. Qualifications include board-level oncology/hematology...Remote jobFor contractors
$65k - $85k
Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) for a fully remote home health role in the US. Salary ranges from $65,000... ...required. The role focuses on reviewing clinical documentation, auditing OASIS and care plans, and ensuring...Remote jobFlexible hours- ...YO AI Labs is seeking a Hematology Expert for remote contractor work. You will contribute clinical expertise in Oncology and Hematology to evaluate trial data, review regulatory documents, and provide expert medical judgments for advanced AI healthcare projects. The...Remote jobFor contractors
- ...Providence Home Services Oregon is seeking a Clinical Documentation Specialist RN to ensure CMS program compliance through meticulous review of OASIS admission documents and Plans of Care. This full-time, day shift role is remote for eligible states and collaborates with...Remote jobFull timeDay shift
- ...support for inpatient and outpatient clinical claim review activities, the full-time Remote Registered Nurse Clinical Reviewer... ...accuracy and compliance with billing guidelines while assessing medical... ...and unrestricted Registered Nurse (RN) license in the state of practice...Remote workFull time
- Providence Health and Services is seeking a Clinical Documentation Specialist, RN for the Oregon Home Services team. This role focuses on quality review of OASIS admission documents and Plans... ...Health leadership, acting as an Oasis expert and consultant to staff across the...Remote job
- Managed Medical Review Organization, Inc. seeks an experienced RN Clinical Case Manager to support a disability claim review program. You will guide members through... ...caseload from start to finish. You will work remotely within allowed US states, performing telephonic assessments...Remote job
- YO AI Labs is seeking a Hematology Expert for a remote contractor role to contribute medical expertise to a healthcare AI project. You will evaluate clinical content, review trial materials, and provide expert medical judgment to improve AI-driven insights. The ideal candidate...Remote jobFor contractors
$69.3k - $78k
Overview Medical Review Nurse II - Clinical Validation At Performant, we’re focused... ...losses due to errant billing practices. We are the premier... ...Commercial Payers. You will work remotely in a fast paced and dynamic... ...Active unrestricted RN license in good standing, is...Remote workFor contractorsWork at officeWork from homeHome officeShift work$60 per hour
...discretion and completely remote. We require at least... ...be responsible for reviewing pertinent patient data,... ...received for accuracy of clinical and demographic... ...Reviewers, LPN Reviewers and RN Reviewers in building their... ...care plan sign off and billing. Identify...Remote workHourly payFor contractors$29 - $52 per hour
...UnitedHealth Group is seeking a qualified Registered Nurse in Massachusetts to perform clinical coverage review services. As part of this role, you will communicate benefit determinations and work closely with healthcare providers to explain coverage. We offer telecommuting...Remote workHourly pay$59.5k - $116.6k
UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring... ...requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate will work primarily during...Remote jobWeekend work- CorVel Corporation is seeking an Itemization Review Nurse to assess charges on UBIB submissions for accuracy. This remote role requires meticulous data review and documentation... ...designated system. The ideal candidate holds RN licensure in the employment state, with 5+...Remote job
- ...YO AI Labs is seeking a Hematology expert contractor to contribute clinical judgment to an innovative healthcare AI project remotely. You will evaluate clinical content, trial materials, and safety data with a focus on oncology and hematology. The role emphasizes rigorous...Remote jobFor contractors
- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves... ...of experience in utilization review and significant clinical experience in an acute setting. Strong written and verbal...Remote job
- UnitedHealth Group seeks a SSBV Clinical Claims Review RN to administratively review short‑stay inpatient hospital claims, document decisions, and maintain screening criteria for claims processing in a dynamic production environment. The role requires an Associate’s degree...Remote job
- UnitedHealth Group is seeking a Clinical Claims Review RN to administer and document short‑stay inpatient hospital claim reviews. You will maintain... ...determinations in a dynamic production environment. This remote role requires an RN license, 5+ years of clinical...Remote jobWork at office
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