Showing 1-20 of 229
Showing 1-20 of 229
Claims Process Reviewer jobs

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ControlExpert Inc.-Fresno, CA-Est. salary: $54,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Leveraging technologies and processes that compress cycle-time and cost through structured and automated decision process....

Anthem, Inc.-Richmond, VA-Est. salary: $54,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...

Anthem, Inc.-Atlanta, GA-Est. salary: $64,000 - $82,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...

Anthem, Inc.-Richmond, VA-Est. salary: $33,000 - $42,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Conducts clinical screening process. Refers cases requiring clinical review to a Nurse reviewer. Managing incoming calls or incoming post services claims work....

Anthem, Inc.-West Des Moines, IA-Est. salary: $62,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...

TalenTrust LLC-Golden, CO-Est. salary: $54,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Employees in this position possess a comprehensive understanding of the claim review process including clinical claim review and a broad knowledge of applicable...

Med-Scribe, Inc- Healthcare Recruiters-Rochester, NY-Est. salary: $22 - $31 an hour

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Today, they receive more than 600,000 Medicare appeals claims a year! In this role, you will facilitate the arbitration of denied Medicare claims....

KURZ Solutions-Rolla, MO-Est. salary: $100,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Time spent in an administrative capacity as a claims reviewer, medical school instructor, medical director, internet physician, etc. does not qualify as...

Anthem, Inc.-Seattle, WA-Est. salary: $35,000 - $45,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Conducts clinical screening process. Refers cases requiring clinical review to a nurse reviewer; Managing incoming calls or incoming post services claims work....

Anthem, Inc.-Wallingford, CT-Est. salary: $30,000 - $40,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Conducts clinical screening process. Refers cases requiring clinical review to a Nurse reviewer. Managing incoming calls or incoming post services claims work....

Ameriprise Financial-Phoenix, AZ

Within defined authority limits, settle low-complexity claims and process for payment. Must possess the ability to process information and react quickly and...

Cigna-Chattanooga, TN-Est. salary: $65,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Drive the delivery of high-quality claims analysis and materials as a peer reviewer for team members. Comprehensive understanding of claim submissions claims...

Ameriprise Financial-Green Bay, WI

Within defined authority limits, settle low-complexity claims and process for payment. Must possess the ability to process information and react quickly and...

Words by a Pro-Las Vegas, NV-Est. salary: $30 - $41 an hour

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Examples of what the review process should look for include, but are not limited to:. This person would act as an advisor, interview subject, and reviewer...

First 5 LA-Los Angeles, CA-Est. salary: $4,500 - $7,000 a month

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Conducts reviewer training and calibration sessions. Manages complex contract issues that involve disputes, modifications, and claims....

Aon-The Woodlands, TX

Senior Claims Specialist - Claims Examiner - Appeals & Grievance Specialist - Appeals Reviewer - Audit & Appeals Specialist - Billing & Insurance Specialist -...

Aon-Lincolnshire, IL

Senior Claims Specialist - Claims Examiner - Appeals & Grievance Specialist - Appeals Reviewer - Audit & Appeals Specialist - Billing & Insurance Specialist -...

UnitedHealth Group-Philadelphia, PA

Handle high claims and appeal volume while using internal Claim, UM / UR Behavioral Health, Medical claims / appeal management processes....

UnitedHealth Group-St. Louis, MO

Handle high claims and appeal volume while using internal Claim, UM / UR Behavioral Health, Medical claims / appeal management processes....

UnitedHealth Group-Schaumburg, IL

Handle high claims and appeal volume while using internal Claim, UM / UR Behavioral Health, Medical claims / appeal management processes....


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