Medical Claim Review Nurse
Company: VirtualVocations
Location: Saginaw
Posted on: October 16, 2024
|
|
|
Job Description:
A company is looking for a Medical Claim Review Nurse (Remote)
in Columbus, OH.
Key Responsibilities
Review medical patient records against standard medical
criteria
Perform clinical reviews of retrospective medical claims and
previously denied cases
Document clinical review summaries and provide supporting
documentation for payment decisions
Required Qualifications
High School Diploma or GED
Minimum of three years of clinical appeals review experience
Minimum of one year of utilization review experience
Active, unrestricted State Registered Nursing (RN) license in good
standing
DRG experience is prioritized
Keywords: VirtualVocations, Midland , Medical Claim Review Nurse, Healthcare , Saginaw, Michigan
|
Click
here to apply!
|
