Average salary: $93,540 /yearly
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...evaluate clinical service requests.
Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and... ...of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not...
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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness... ...of clinical information and treatment plans and apply medical necessity criteria in order to determine appropriate level of care...
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...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to... ...notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and...
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ezURS.com Inc., has an ongoing need for Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation,and auto and liability\
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Opportunity to...
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Hmong Chinese Language Document Reviewer
Employment Type: Full Time, Mid-Level
Department: Legal
As a CGS Hmong Chinese Document Reviewer you will play a key role in supporting various aspects of the company's litigation portfolio including eDiscovery activities...
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...opportunity to contribute to the company’s success. As a Credit Risk Review Advisor within PNC's Credit Risk Review organization, this... ...on your eligibility, options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature...
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Position Overview At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user... ...Expert Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment...
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...balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the... ...contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions about...
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...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and...
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...Job Description Description: Description
The Director position requires a self-driven individual who can complete high quality reviews while meeting strict deadlines. The individual must possess excellent written and verbal communication skills, outstanding...
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...career, and the financial world.
Job Summary:
The Credit Risk Review Leader for the Second Line of Defense in our OCC-regulated bank... ...grooming practices), sex (including pregnancy, childbirth and related medical conditions, breastfeeding, and conditions related to...
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...Job Description
Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or...
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$65 - $85 per hour
...homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to complete) Each review is meant to evaluate the quality of the finished construction.
Driving...
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...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup... ...awards. Citi offers competitive employee benefits, including: medical, dental & vision coverage; 401(k); life, accident, and...
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...Position Summary
Working from instructions and pre-established guidelines, under general supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered based on state/URAC guidelines in accordance with...
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Full time
...that diligence to use for a company that connects understaffed medical facilities with qualified healthcare professionals. Above all,... ...ensure accuracy of timesheet documentation
Facilitate detailed review of Provider pay documentation
Facilitate detailed review of...
Full time
Locum
...the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent... .... The physician reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals...
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...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC
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**Global Risk Review (GRR)** provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the... ...awards. Citi offers competitive employee benefits, including: medical, dental & vision coverage; 401(k); life, accident, and disability...
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...yourself, your career, and the financial world.
The role:
The Loan Review Quality Assurance Lead (QAL) conducts Quality Assurance (QA)... ...practices), sex (including pregnancy, childbirth and related medical conditions, breastfeeding, and conditions related to breastfeeding...
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