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- ...physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload... ...: Utilizes clinical expertise, and reviews disability claims by providing an interpretation of the medical appropriateness of...ClaimsFull timeFor contractorsMonday to Friday
Dane Street, LLC
Kansas City, MO30 minutes agonew - ...the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent... ...and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical...ClaimsFull timeFor contractors
Dane Street, LLC
Bellevue, WA24 minutes agonew - ...ensure the accuracy of medical records and files Create charts and graphs for data analysis and presentation Administer insurance claims and related processes Details of the Position: Start Date: January 2025 Duration: 6-month contract with potential to become...ClaimsHourly payPermanent employmentContract workTemporary workRemote workWork from home
- ...Job Description Job Description Claims Reviewer Opportunity Join a dynamic team where your expertise in claims review can make a real difference! We're looking for a detail-oriented Claims Reviewer who can apply clinical and coding knowledge to ensure accurate claims...ClaimsRemote work
- ...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided...ClaimsExtra income
- ...Job Description Job Description Job Tittle: Claims Reviewer Job ID: 75861 Location : Arizona - Remote What you will be doing: Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy...ClaimsContract workRemote work
- ...Job Description Job Description The Role: Dental Dreams / KOS Services LLC actively seeks a motivated Claim Reviewer to join our team. This position reviews unpaid claims by gathering information of claim status to ensure timely payments, as well as preparing detailed...ClaimsFull timeWork at office
- ...of Revenue Cycle or designee, the Explanation of Benefits (EOB) Reviewer ensures all that all Commercial and Managed Care payments and... ...the Appeals Department # Move balances and/or queue secondary claims, as needed # Move remaining balance to self-pay, as appropriate...ClaimsDaily paidFull timeContract work
- ...Job Description Job Description SUMMARY The Claims Reviewer I is responsible for the initial review and proper labeling of claimant documents pertaining to mass tort cases involving asbestos and talc. This role involves reviewing and capturing data from specific...ClaimsWork at officeImmediate startRemote work
- ...also includes monitoring and initiating general building code review correspondence and coordinates the implementation of required changes... ...verify education and/or professional licenses/certifications claimed by the applicant to qualify for this classification. If...ClaimsPart timeFor contractors
- ...solutions including DRG Validation, Cost Outlier, and Readmission reviews. With this role, we are seeking an experienced and credentialed... ...Operations in general. Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate...ClaimsFull timeRemote workMonday to Friday
- ...Job Description Job Description Description: SSC is actively seeking skilled Disaster Claims Reviewers (multiple) to join our team for this contingent contract award. The successful candidates will leverage their five+ years of experience in claims processing, reviewing...ClaimsDaily paidContract workWork experience placementWork at officeLocal area
- ...the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent... ...forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation...ClaimsFor contractorsWork experience placementRemote work
- ...Description Job Description Join Our National Team as a Full-Service Reviewer! Are you looking to leverage your expertise to grow a role... ...Reviewer. In this role, you will serve as a member of the Claims Force Team (formerly known as Quality Assurance). The primary...ClaimsWork at officeLocal areaRemote workWork from homeHome officeFlexible hours
- ...Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided... ...**What Is the Opportunity?** This position is responsible for reviewing outside counsel's invoices for compliance with Travelers'...ClaimsLocal area
- ...integrity within an indexing system. Key Responsibilities: Review and verify accuracy of data entered into the indexing system... ...status updates and support second-level reviews Work assigned claims caseloads efficiently and accurately Participate in special projects...ClaimsContract work
- ...entertainment company that creates toys and entertainment that makes the world smile? We have an opportunity available for an Assistant Claims Analyst to join our Customer Financial Services Shared Service Center. This team supports the North America markets including the...ClaimsWork at office
- ...relationships. ● Act as a primary point of contact for customers and vendors, ensuring timely updates on order status, shipping schedules, claims, and issue resolution via phone and email. ● Leverage enterprise resource planning (ERP) software to manage customer profiles,...Claims
- ...documents are in proper order for submission. Ensuring appropriate documents are filed, emailed, scanned, and mailed. Ensuring claims from remote employees are mailed with appropriate documentation. Ability to organize and handle multiple emailed directives from...ClaimsTemporary workWork at officeRemote workFlexible hours
$45k - $54k
...basis regarding clinical documentation. Clinical documentation review of documentation-Accurate and timely record review.-Recognize opportunities... ...priorities-Regular and reliable attendance. Appeal denied claims and follow up on the appeal status. Problem solves issues with...ClaimsFull timeWork at officeGreat River Health
Burlington, IAa month ago- ...As a Document Control Specialist, you will: Deliverables Review and Processing Review technical data packages prepared by Operations... ...file and process subcontractor documentation such as release of claims, bonds and insurance. Knowledge very heavy in Adobe Acrobat...ClaimsHourly payContract workFor subcontractorWorldwideFlexible hoursShift workDay shiftMonday to Friday
- ...Copperhead is seeking multiple Claims Reviewers - Senior (Team Leads) for a potential contract to support disaster relief. This position involves receiving, evaluating, and processing claims for compensatory damages for injuries resulting from the Hermit's Peak/Calf...ClaimsDaily paidFull timeContract workWork at officeLocal areaVisa sponsorshipWork visaFlexible hoursShift work
- ...requirements. ~100% onsite position – remote work is not available. Ideal Backgrounds for This Role: ✅ Legal Assistant ✅ Claims Processor ✅ Medical Billing/Processing If you are detail-oriented, process-driven, and eager to work in an administrative...ClaimsTemporary workWork at officeRemote workMonday to Friday
- ...Connecting. Growing together.** The role of the Psychologist Peer Review involves applying clinical criteria and benefit plan... ...with no MD involvement) + Appeals of previously denied services or claims for outpatient Non - MD services up to and including Intensive Outpatient...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote workWork from homeMonday to Friday
- ...physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload... ...: Utilizes clinical expertise, and reviews disability claims by providing an interpretation of the medical appropriateness of...ClaimsFor contractorsMonday to Friday
$50k - $58k
...time, remote-first role based in the United States _ Legal Ops Reviewers help ensure that the demand letters (legal documents with... ...expertise with proprietary AI and software to analyze records. The Claims Intelligence Platform™ provides rich business insights, AI...ClaimsRemote jobFull timeLocal areaHome officeFlexible hours- ...Responsibilities: Elwyn is currently seeking a Documentation Specialist to review documentation related to service delivery. This position reviews... ...and the billing approval process to ensure non-billable claims are tracked and rectified in an efficient manner Participates...ClaimsFull timeWork at officeLocal areaWork from homeFlexible hours
- ...lead clinical audit functions for our health plan partners. The ideal candidate will have experience performing clinical reviews of facility claims on behalf of payers, including DRG validation, readmission reviews, short stay assessments, and other medical necessity determinations...ClaimsRemote work
- ...Assist with technical integration and implementation work including reviewing eligibility test and production files, running eligibility tests with health plans, collecting information to support claims testing, and working with Implementation team to gather information...Claims
- ...Description About Lucent Health Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care... ...required information when benefit interpretation varies; Review, develop, and update summary of benefits and coverage (SBC) to...ClaimsWork at office
