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

Remote Clinical Review RN - Forensic Billing Expert

Unitedhealth Group

Minneapolis, MN
  • 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

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Clinical Review RN - Forensic Billing Expert in Minneapolis, MN vacancy
  • Stryker Corporation is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews. This role involves analyzing hospital bills, conducting forensic reviews, and maintaining compliance with HIPAA standards while working independently... 
    Remote job
    Hourly pay

    Stryker Corporation

    Minneapolis, MN
    18 hours ago
  • $28.94 - $51.83 per hour

    Crains Cleveland is seeking a Clinical Review Clinician to perform Forensic Reviews on hospital bills, assisting with claims resolution and departmental goals. The role requires strong clinical knowledge and the ability to analyze charge details comprehensively. Benefits... 
    Suggested
    Hourly pay

    Crains Cleveland

    Minneapolis, MN
    3 days ago
  •  ...role, you’ll use your clinical knowledge outside of the...  ...traditional bedside setting to review and audit claims,...  ..., documentation, and billing data   Collaborate with...  ...Registered Nurse (RN) license   Strong clinical...  ...populations   Remote work – enjoy the convenience... 
    Remote job
    Full time
    Temporary work
    Work at office
    Work from home

    HealthSkil

    Harrisburg, PA
    27 days ago
  •  ...Barbara Cottage Hospital is hiring a Utilization Review Nurse for a remote position. The role involves gathering clinical information, certifying medical necessity, and...  ...candidates will have a strong nursing background with RN licensure and at least 4 years of clinical... 
    Remote job

    Santa Barbara Cottage Hospital

    New York, NY
    4 days ago
  • $65 - $95 per hour

     ...About the job Remote | Nursing Clinical Review Expert - $65-$95/hour We are sharing a specialised part-time consulting opportunity for nursing...  ...environment Educational Background Nursing education, RN/LPN/LVN qualification, BSN, MSN, or equivalent clinical... 
    Remote work
    Hourly pay
    Weekly pay
    Contract work
    Part time
    For contractors
    Flexible hours

    24-MAG LLC

    United States
    4 days ago
  •  ...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 work
    Full time
    Temporary work
    Work at office

    The CKHobbie Group

    Harrisburg, PA
    3 days ago
  • $175 per hour

     ...About the job Remote | Gastroenterology Clinical Review Expert - $175-$240/hour We are sharing a specialised part-time consulting opportunity for physicians experienced in gastroenterology, digestive health, hepatology, endoscopic diagnostics, clinical data review... 
    Remote work
    Hourly pay
    Weekly pay
    Contract work
    Part time
    For contractors
    10 hours per week
    Flexible hours

    24-MAG LLC

    United States
    4 days ago
  • $49.34 - $76.59 per hour

    A leading healthcare organization is seeking a Utilization Review RN for a fully remote role in Oregon. Candidates must hold an Oregon Registered Nurse License and have at least 5 years of clinical nursing experience, particularly in collaboration with physicians. This... 
    Remote job

    Providence Health & Services

    Portland, OR
    4 days ago
  • Concierge Home Care is seeking a Utilization Review Specialist (RN) for a remote opportunity. This position requires a Florida RN License, OASIS Certification...  .... You will be responsible for reviewing home health clinical documentation, auditing OASIS documentation, and... 
    Remote job
    Flexible hours
    Weekend work
    Weekday work

    Santa Barbara Cottage Hospital

    New York, NY
    4 days ago
  •  ...Description This is a remote position. Program: CMS...  ...a senior Subject Matter Expert to serve as the authoritative voice on Clinical Laboratory Fee Schedule...  ...corrections. • Define and review test cases covering...  ..., or clinical lab billing operations. • Working... 
    Remote work
    Permanent employment
    Contract work
    For contractors

    Innosoft Corporation

    Windsor Mill, MD
    16 days ago
  • $60 - $85 per hour

     ...education technology firm is seeking an experienced registered nurse for a remote Expert Question Reviewer role in NCLEX-RN exam preparation. You will evaluate practice questions for clinical accuracy and alignment with NCSBN standards. The ideal candidate will have over... 
    Remote job
    Hourly pay
    Contract work
    Flexible hours

    Studyfetch

    Beverly Hills, CA
    4 days ago
  • $70k - $80k

     ...analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with...  ...care experience. Responsibilities include reviewing medical records, documenting findings, and... 
    Remote job

    EXL

    New York, NY
    4 days ago
  • $67.7k

     ...consulting firm is seeking a Medical Claims Reviewer to conduct medical reviews and provide guidance on claims. This remote role requires an active RN license, a bachelor's degree in nursing, and at least five years of clinical experience. Ideal candidates will work full... 
    Remote job
    Full time
    Monday to Friday

    Broadway Ventures LLC

    New York, NY
    4 days ago
  •  ...intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical records, ensuring compliance with...  ...assurance guidelines. This role requires an active RN license and the ability to analyze claims data and regulations... 
    Remote job

    Performant Corp

    Florida, NY
    3 days ago
  • $60 - $85 per hour

     ...join our content quality team as an Expert Question Reviewer for NCLEX-RN exam preparation materials. You'll review...  ...Health, and Pharmacology — ensuring clinical accuracy, appropriate difficulty,...  ...is a contract position — flexible, remote, and project-based. You'll work... 
    Remote work
    Hourly pay
    Contract work
    Flexible hours

    Studyfetch

    Beverly Hills, CA
    4 days ago
  • $150 per hour

     ...About the job Remote | Physician Clinical Review Expert - $150-$220/hour We are sharing a specialised part-time consulting opportunity for physicians experienced in clinical diagnosis, treatment planning, patient care management, medical documentation, clinical... 
    Remote work
    Hourly pay
    Weekly pay
    Contract work
    Part time
    For contractors
    Flexible hours

    24-MAG LLC

    United States
    4 days ago
  •  ...healthcare consulting firm is expanding its team by hiring a Clinical Appeals Review Nurse. This role involves completing clinical denial reviews...  ...on charge documentation. Required qualifications include an RN certification, experience with DRG denials, and preferred... 

    UASI

    New York, NY
    4 days ago
  • $28.94 per hour

    Texas Health Institute is seeking a Clinical Review Clinician to conduct forensic reviews and analyze hospital facility bills as part of a specialized team. This role requires a thorough understanding of claim review processes, clinical records, and billing guidelines.... 
    Hourly pay

    Texas Health Institute

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

    The University of Minnesota School of Nursing is looking for a Clinical Review Clinician. This role requires expertise in clinical review processes and involves conducting forensic reviews, analyzing billing details, and interacting with team members. Benefits include... 
    Hourly pay

    University of Minnesota School of Nursing

    Minneapolis, MN
    3 days ago
  • $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 work
    For contractors
    Work at office
    Work from home
    Home office
    Shift work

    Performant Healthcare, Inc.

    New York, NY
    4 days ago
  • $29 - $52 per hour

     ...Clinical Claim Review Nurse Optum is a global organization that delivers care, aided by technology...  ...applicable processes, procedures and billing guidelines. You'll enjoy the flexibility...  ...degree ~ Active and unrestricted RN license in the state of residence ~2+... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Local area

    Reliant Medical Group

    Minneapolis, MN
    9 hours ago
  • $55 per hour

    Women Veterans Interactive is seeking a dedicated Clinical Pharmacist for a fully remote position. This role involves reviewing utilization management requests, making informed clinical decisions based on specific criteria, and collaborating with healthcare providers. The... 
    Remote job
    Hourly pay

    Women Veterans Interactive

    Nashville, TN
    3 days ago
  • COMAGINE HEALTH is seeking a registered nurse for Clinical Review and QIDP responsibilities, working remotely from any U.S. location. The role requires an active RN license in Alabama, a BA/BS in Nursing, and at least three years of direct patient care experience. Responsibilities... 
    Remote job
    Work from home

    COMAGINE HEALTH

    Seattle, WA
    3 days ago
  •  ...Description Job Description Fully remote- Must have state of MI unrestricted RN license. You will perform...  ...prospective, concurrent and retrospective review of inpatient, outpatient,...  ...computer skills (Microsoft office) Clinical experience in ICU, ER, or medical... 
    Remote work
    Work at office
    Flexible hours

    G-TECH Services

    Detroit, MI
    24 days ago
  •  ...discretion and completely remote. We require at least 5...  ...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 work
    For contractors

    TapestryHealth

    New York, NY
    4 days ago
  • COMAGINE HEALTH in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting...  .... Ideal candidates will have an active RN licensure in Alabama, with 3+ years of...  ...are crucial. The position offers a remote work option along with comprehensive benefits... 
    Remote work

    COMAGINE HEALTH

    Las Vegas, NV
    2 days ago
  • COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum... 
    Remote job
    Full time

    COMAGINE HEALTH

    Seattle, WA
    1 day ago
  • $50 - $53 per hour

     ...Job Title: Clinical Review RN (IDR/Appeals) Experience: Open to various clinical backgrounds/experience. Appeals experience not required...  ...Must have BSN and New York State RN license*** Location: Remote (can sit anywhere in the US as long as you can work EST hours... 
    Remote work
    Immediate start
    Flexible hours

    Medix™

    Syracuse, NY
    1 day ago
  • $150 per hour

    CuraSenseAI is looking for specialists in Adult Psychiatry and its subspecialties for a fully remote role. Responsibilities include developing clinically accurate psychiatry case scenarios and evaluating generated outputs according to best-practice mental health standards... 
    Remote job
    Hourly pay
    Flexible hours

    CuraSenseAI

    New York, NY
    4 days ago
  • A national nonprofit organization is seeking a Registered Nurse (RN) to perform Clinical Review work and QIDP reviews. This remote position requires an active RN license in Alabama and at least three years of direct patient care experience. Key responsibilities include... 
    Remote job

    Comagine Health

    Las Vegas, NV
    18 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Clinical Review RN - Forensic Billing Expert. Be the first to apply!