Medical Insurance Claim Review Jobs (NOW HIRING)

Reviews unpaid third party payer claims and determines the reason why the claim is unpaid and ... Knowledge of medical terminology, medical record coding, and patient registration techniques.

This position supports insurance-related claim reviews through detailed analysis of medical records, billing documentation, and coding practices. The ideal candidate enjoys investigative work, has ...

Review medical and administrative records for audit/compliance review * Travel to provider sites up to 25%/month to collect records and engage with providers * Present and participate in discussions ...

Ensures accurate and timely reimbursement by reviewing, processing, and resolving medical claims in ... insurance, and billing information prior to submission. * *Identifies and resolves claim edits ...

Ensures accurate and timely reimbursement by reviewing, processing, and resolving medical claims in ... insurance, and billing information prior to submission. * *Identifies and resolves claim edits ...

Ensures accurate and timely reimbursement by reviewing, processing, and resolving medical claims in ... insurance, and billing information prior to submission. * *Identifies and resolves claim edits ...

(LPN) Pre-Claim Review Coordinator - ProHealth Home Health and Hospice (Pensacola, FL.) Job ... Responsible for entering tracking number (UTN) into electronic medical record and attaching ...

The Clinical Claim Review RN will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive ...

The Clinical Claim Review RN will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive ...

The Pre-Claim Review Coordinator will review all Medicare episodes in assigned RCD state(s) to ... medical record. 8. Serves as a role model for other colleagues by setting an example of high ...

The Pre-Claim Review Coordinator will review all Medicare episodes in assigned RCD state(s) to ... medical record. 8. Serves as a role model for other colleagues by setting an example of high ...

Medical Plan options along with participation in a Health Spending Account or a Health Saving ... Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability ...

The Pre-Claim Review Coordinator will review all Medicare episodes in assigned RCD state(s) to ... medical record. 8. Serves as a role model for other colleagues by setting an example of high ...

The Pre-Claim Review Coordinator will review all Medicare episodes in assigned RCD state(s) to ... medical record. 8. Serves as a role model for other colleagues by setting an example of high ...

Medical Plan options along with participation in a Health Spending Account or a Health Saving ... Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability ...

Verify coverage and determine our obligation(s) to the insured and/or claimant. * Review claims to ... Additional courses in insurance and/or medical terminology desirable. Necessary Knowledge and ...

Review and analyze claim submissions and the supporting cost documents Prepare reports and excel ... them properly submit insurance claims with appropriate cost documentation, which includes ...

Review and resolve claim rejections, denials, and underpayments * Communicate with insurance ... Minimum 2 years of medical insurance collections experience * Knowledge of CPT, ICD-10, and ...

Research and resolve claim discrepancies, denials, and payment issues. * Review Explanation of ... Minimum of 1-2 years of medical insurance follow-up, medical billing, or accounts receivable ...

Review and resolve claim rejections, denials, and underpayments * Communicate with insurance ... Minimum 2 years of medical insurance collections experience * Knowledge of CPT, ICD-10, and ...