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Medicare Appeals Reviewer - new
Ministry Health Care - Marshfield, WI - +1 more location

Medicare Appeals Reviewer Location: WI-Marshfield-Northridge Building The Medicare ... coding and compliance departments. The Appeals Reviewer is responsible for the...
6 hours ago from Job.com - Save - Block - Flag - More Tools...
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- Job Summary | Also found at: Ministry Health Care Jobing.com StevensPointDiversity.com
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Medical Reviewer / GOP Associate
CIGNA - Claymont, DE

appeals tracking system, consults with Appeals Analyst Specialist regarding ... and/or refer questionable claims for clinical review. Communicate...
4 days ago from Cigna Corporation - Save - Block - Flag - More Tools...
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Appeals Review Case Manager
Delmarva Foundation - Waltham, MA

Appeals Review Case Manager Job Code: 10-741 Division: Masspro /Beneficiary Protection ... appropriate clinical personnel. Use clinical based criteria and Medicare...
21 days ago from Delmarva Foundation - Save - Block - Flag - More Tools...
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EOB Reviewer
Western Medical Center Santa Ana - Yorba Linda, CA - +1 more location

class; initiate appeals to payors; refer clinical appeals to RN; investigate interpretation variances. Must have 2-5 years prior experience in hospital collections or terms and...
30+ days ago from Western Medical Center Santa Ana - Save - Block - Flag - More Tools...
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EOB Reviewer
Western Medical Centersanta Ana - Yorba Linda, CA - +1 more location

class; initiate appeals to payors; refer clinical appeals to RN; investigate interpretation variances. Must have 2-5 years prior experience in hospital collections or terms and...
30+ days ago from jobscience - Save - Block - Flag - More Tools...
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Utilization Reviewer
Sisters of Providence Health System - Holyoke, MA

and monitors clinical and administrative appeals in order to maximize reimbursement ... to discipline required. Must have strong clinical background with 3-5 years...
8 days ago from Yahoo! HotJobs - Save - Block - Flag - More Tools...
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Case Manager - High Risk - new
BlueCross and BlueShield of Massachusetts - Quincy, MA

Reviewer II posted 06/29/06 Requirements Case Manager, High Risk Blue Cross Blue Shield ... needs related to clinical condition, appeals process, and community/other...
9 hours ago from InsuranceCareerSite.com - Save - Block - Flag - More Tools...
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Utilization Management Nurse - new
Munson Healthcare - Traverse City, MI

preferred. Comprehensive knowledge of the clinical capabilities of Munson Medical ... Contacts attendingphysician and/or physician reviewer is IS/SI criteria is not present on...
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Medical Director
Shps - Louisville, KY

of care management and clinical quality...[more] The Medical ... and effective clinical execution Assures clinical effectiveness of care management...
11 days ago from KentuckyWorks - Save - Block - Flag - More Tools...
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- Job Summary | Also found at: GreaterLouisvilleWorks.com SHPS Monster
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Medical Claims Review Nurse
New York, NY

responses to member grievances and appeals regarding quality of medical care ... and formulate responses to clinical appeals delivered by or under the auspices...
30+ days ago from Axion - Save - Block - Flag - More Tools...
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