NCI Information Systems, Inc. - Henrico County, VA 3.6

Responsible for review of Medicare Part B claims. Perform projects or duties as assigned by the Lead Medical Review Specialist....

Estimated: $61,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

NCI Information Systems, Inc. - Henrico County, VA 3.6

Responsible for review of Medicare Part B claims. Perform projects or duties as assigned by the Lead Medical Review Specialist....

Estimated: $61,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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Aspen Valley Hospital - Aspen, CO 4.1

CoP, Claims Processing Manual(s), LCD/NCD, ICD10-CM CPT/HCPC. Reviews registration to ensure that information is 100% complete and accurate....

Estimated: $26,000 - $35,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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IPA of Nassau/Suffolk County - Commack, NY 

Performing concurrent claims review. Conduct retrospective medical record and claim reviews. On-going review, monitoring and communications to help promote...

Estimated: $61,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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ANALYTICA - Atlanta, GA +2 locations3.7

Review claims remotely to determine appropriateness of payment using state and federal policy - review bene info, review TPL, review provider info, review for...

Estimated: $57,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

State Farm - Richardson, TX 3.8

Claim Specialist - Special Investigations Unit. Learns to handle complex/non-routine lawsuits, commercial claims, business interruption claims, and loss of...

Estimated: $60,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Triton Medical Solutions - Tempe, AZ 

Send clinical documentation to the insurance company for review and approval. Previous experience with a medical billing company in the accounts resolution or...

Estimated: $31,000 - $43,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

MEMIC - Remote 3

Evaluates claim exposure, negotiate and resolve claims. Continues education in claims through Associate in Claims or Claims Law (AEI) courses....

Estimated: $53,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Intrepid USA - Dallas, TX 3

Quality Management/Utilization Review and Performance improvement. Able to perform OASIS SOC/ROC/Recertification reviews of past field staff visits....

Estimated: $54,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Arbella Insurance Group - Quincy, MA 3.8

Quality File Review (QFR) - Support effectiveness of Quality File Review Program for Claim group. O Complete Claim Quality Focus Reviews as identified/requested...

Estimated: $63,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Change Healthcare - Minnesota 3.2

Clinical Review Specialist. The Clinical Review Nurse is responsible for reviewing and researching post service claims for aberrant billing patterns, through...

Estimated: $83,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Crossroads Treatment Centers - Abingdon, VA 

Manually enters claims and remits to and from Method One as needed. Ensures that all billable services including weekly nursing note have been documented prior...

Estimated: $47,000 - $63,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Toyota Boshoku Indiana - Princeton, IN 3.6

Research and investigate compliance issues regarding workers’ compensation injuries and claims, attendance, corrective actions, harassment, etc....

Estimated: $63,000 - $87,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

US Department of Defense - Blacksburg, VA +12 locations4.3

Review our benefits. Experience performing process reviews and product examinations. For MSP claims PCS orders and marriage certificate;...

$61,000 - $80,000 a year

CareSource - Dayton, OH 3.7

Knowledge of Facets Claim System. Medical coding principles (CPT, HCPCS, ICD-9, CCI, OPPS) is preferred Experience with chart review, clinical review and...

Estimated: $57,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

NCI Information Systems, Inc. - Baltimore, MD 3.6

Medical claim review experience. Responsible for review of Medicaid/CHIP claims. Extensive experience performing medical review and/or utilization/QA reviews;...

Estimated: $100,000 - $150,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Crossroads Treatment Centers - Suffolk, VA 

Crossroads Treatment Centers is seeking an Administrative Utilization Review specialist to join our OTP clinic in Suffolk, VA....

Estimated: $47,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Molina Healthcare - Jackson, MS 3.4

Assists with Complex Claim review; Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in...

Estimated: $57,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

UCare - Minneapolis, MN 3.9

Provide medical necessity review for published authorization strategies, medical policies, review criteria, review standards, and regulatory requirements in the...

Estimated: $64,000 - $88,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

State of South Carolina - Lexington County, SC 

Identify and document over payments and make at least 3 possible claims referrals to the Benefit Integrity Unit;...

$22,000 - $41,000 a year

US Department of Homeland Security - Winchester, VA 3.9

The Travel Specialist is responsible for providing travel claim services to deployed personnel. Please review "Other Information" section for additional...

$18 an hour

US Department of the Army - Winchester, VA +1 location4.4

Review our benefits. If you claim qualifications based on education, and do not submit a transcript, your education will not be used in making a qualification...

$46,000 - $88,000 a year

NTT Data Services, Inc. - Billings, MT 

Medical Claims Examiner/Processor:. Bachelor’s degree or a minimum of five years of experience in health care with knowledge of membership, benefits, provider...

Estimated: $50,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

The Orthopedic Clinic Association - Phoenix, AZ 

Prepare, review, and transmit claims using billing software, including electronic and paper claim processing. Research and appeal denied claims....

Estimated: $28,000 - $37,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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York Hospital - York, ME 3.7

Work in conjunction with Utilization Review nurses to coordinate process; The Care Access Pre-Certification Specialist is responsible for the following:....

Estimated: $32,000 - $44,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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Delta Dental of Michigan - Okemos, MI 3.8

Prepares Focused Review dental claims so appropriate determinations can be finalized with correct procedure policies and bypasses in place, adjudicates claims,...

Estimated: $37,000 - $50,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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