Illinois and Wisconsin RN Claim Reviewer
Company: VirtualVocations
Location: Mesquite
Posted on: April 1, 2025
|
|
|
Job Description:
A company is looking for a Medical Claim Review Nurse (RN)
Remote IL & WI.
Key Responsibilities
Perform clinical reviews of medical claims and appeals to ensure
medical necessity and accurate billing
Document clinical review summaries and audit findings in the
database
Provide clinical support and training for Utilization Management
and assist with complex claim reviews
Required Qualifications
Graduate from an Accredited School of Nursing
Minimum 3 years of clinical nursing experience
Minimum 1 year of Utilization Review and/or Medical Claims Review
experience
Active, unrestricted State Registered Nursing (RN) license in good
standing
Bachelor's Degree in Nursing or Health Related Field preferred
Keywords: VirtualVocations, Mesquite , Illinois and Wisconsin RN Claim Reviewer, Healthcare , Mesquite, Texas
|
Click
here to apply!
|
