Claims Analyst Nursing Jobs

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  • Claims Analyst I - SURS (Register Nurse)Molina Healthcare(Baton Rouge, Louisiana)

    Job Summary Reviews claims using medical records and system reports to determine proper documentation, utilization and appropriateness of medical services and to identify possible fraud and abuse. Open to recent Nursing Graduates. Essential Functions o Performs post payment analysis of medical claims and records. o Uses independent judgment to determine sanction level, and forwards recommendation ...
    Full job description at Monster

    Posted Thu 17th July

  • Registered Nurse / (RN) / Review AnalystA-Line Staffing Solutions(Detroit, Michigan)

    Registered Nurse (RN) Review Analyst · Responsible for the approval or rejection of claims · Admissions approvals · Telephone triage · Benefit interpretation · May be required to enter or reference data via PC and/or CRT terminal. · Other related skills may be required to perform this job. · Expertise in the use of medical terminology Details · 40 hours/week · M-F with no weekends and no on-call ·...
    Full job description at Monster

    Posted Thu 24th July

  • Registered Nurse - Review AnalystGenpact, Jawood Healthcare Solutions(Detroit, Michigan)

    Genpact, Jawood Healthcare Solutions, is seeking a Registered Nurse Review Analyst. We have openings in Detroit, Southfield, and Ann Arbor, Michigan. Duties include: • Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretation. • May be required to enter or reference data via PC and/or CRT terminal. Requirements: • Registered Nurse wi...
    Full job description at Monster

    Posted Thu 24th July

  • Registered Nurse-Review AnalystEpitec, Inc.(Detroit, Michigan)

    Epitec, Inc., a Metro Detroit 101 Best & Brightest Company to Work For and MMSDC Minority Supplier of the Year winner, is currently searching for a qualified Registered Nurse with experience in admissions approvals, telephone triage, and/or benefit interpretation to place within a prestigious client in the Detroit, MI area. The Registered Nurse will be able to stay on task in potentially distracti...
    Full job description at Monster

    Posted Thu 24th July

  • Lead Clinical Business Analyst Nurse For WellMedUnitedHealth Group(San Antonio, Texas)

    Description: The Lead Clinical Business Analyst delivers solutions to complex business problems. The solutions will provide consideration to WellMed and Optum evolving business needs, which include the capacity and limitation of associated business systems, and evaluating system changes for downstream impact. This position oversees the development, specification and integration of strategic WellMe...
    Full job description at Monster

    Posted 2 days ago

  • Senior Policy AnalystHarvard Pilgrim Health Care(Boston, Massachusetts)

    Reporting to the Manager of Payment Policy & Strategy, the Sr. Clinical Policy is responsible for the research, analysis, reporting, development and implementation of custom rules for iCES – HPHC’s claims editing software. This position plays a lead role in the development of all payment and medical policies, including providing technical and methodological design consultation, database maintenanc...
    Full job description at Monster

    Posted 3 days ago

  • Retail Sales AssociateUSMA Inc.(Riverside County, California)

    Wouldn't it be great to have a job where your people skills are what make you the big bucks? You are here. Consultant You love helping people. The people you know come to you when they need answers. The Consultant leverages a relationship built on trust and the expertise of knowing your stuff to match people and products perfectly. USMA offers; SalesCraft Certification One on one mentorship progra...
    Full job description at Monster

    Posted Fri 4th July

  • Investigator Special Investigations UnitBoston Medical Center Healthnet Plan(, Massachusetts)

    Job Location: Boston or Manchester NH, MA Job Description Job Summary: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan’s member and provider fraud, waste, and abuse (FWA) detection, investigation, remediation, and prevention efforts. The Investigator utilizes preliminary recommendations provided by the SIU Data Analyst to develop, conduct, resolve, document, an...
    Full job description at Monster

    Posted Fri 4th July

  • Retail Sales AssociateUSMA Inc.(San Bernardino/Palm Springs, California)

    Wouldn't it be great to have a job where your people skills are what make you the big bucks? You are here. Consultant You love helping people. The people you know come to you when they need answers. The Consultant leverages a relationship built on trust and the expertise of knowing your stuff to match people and products perfectly. USMA offers; SalesCraft Certification One on one mentorship progra...
    Full job description at Monster

    Posted Fri 11th July

  • Sales Representative, Full Time(San Francisco, California)

    Our company is currently hiring management training positions. Our talented team of marketing professionals represents our clients with unparalleled integrity to the business community. In order for our organization to prosper, we are aggressively seeking talented, enthusiastic individuals who are searching for an opportunity to quickly work their way from ENTRY-LEVEL into a position in MANAGEMENT...
    Full job description at Monster

    Posted Sat 12th July

  • Retail Sales AssociateUSMA Inc.(Riverside County, California)

    Wouldn't it be great to have a job where your people skills are what make you the big bucks? You are here. Consultant You love helping people. The people you know come to you when they need answers. The Consultant leverages a relationship built on trust and the expertise of knowing your stuff to match people and products perfectly. USMA offers; SalesCraft Certification One on one mentorship progra...
    Full job description at Monster

    Posted Fri 18th July

  • Retail CSR/Sales Rep- Management TraineeSuperior Marketing Innovations(Columbia, South Carolina)

    Marketing – Management – Sales – Public Relations – Retail – Customer Service You have a gift. You know just what to say at any given moment. Your personality alone puts people at ease. People love you. People follow you. This is what drives you. This is the type of person we are looking for. Superior Marketing Innovations is a marketing & promotions firm located Downtown Virginia Beach that speci...
    Full job description at Monster

    Posted Thu 24th July

  • Management Trainee(Norfolk/Hampton Roads, Virginia)

    MANAGEMENT TRAINING- Marketing/Advertising Sales LOVE the person to person interaction in your current industry, but tired of feeling like you're stuck in a dead end job? Have you been working hard, only for someone else to take the credit? Want to get PAID to talk about sports, movies, music, entertainment, and TV while working your way up the company ladder? Our team is drafting! Apply today to ...
    Full job description at Monster

    Posted Sat 26th July

  • Retail CSR/Sales Rep- Management TraineeAdvanced Marketing Solutions(Columbia, South Carolina)

    Marketing – Management – Sales – Public Relations – Retail – Customer Service You have a gift. You know just what to say at any given moment. Your personality alone puts people at ease. People love you. People follow you. This is what drives you. This is the type of person we are looking for. Advanced Marketing Solutions is a marketing & promotions firm located Downtown Columbia that specializes i...
    Full job description at Monster

    Posted Tue 29th July

  • Director, Risk ManagementCommunity Memorial Hospital(Ventura County, California)

    Overview: Located close to the beach, just 60 miles north of Los Angeles, Community Memorial Hospital is a 242 bed non-profit, acute care facility, committed to provide quality patient care in an environment that promotes clinical excellence and innovative leadership. We offer some of the best benefits in the industry, along with great career choices, training, and leadership development. At our f...
    Full job description at Monster

    Posted Wed 23rd July

  • Accounts Receivable ( AR ) Collections LeadBrookdale Senior Living Inc.(Milwaukee, Wisconsin)

    Accounts Receivable Collections Lead Analyst Full Time Brookdale - 6737 W. Washington Ste. 2300 Milwaukee, WI 53214 The Accounts Receivable Collections Lead Analyst will be responsible for past due accounts greater than 90 days. A career with Brookdale has never been more rewarding. As a senior living solutions company, Brookdale is committed to providing the best options for the residents that we...
    Full job description at Monster

    Posted Yesterday

Claims Analyst Job Search Tip

The job outlook for qualified nurses is very positive as in many geographical areas, there are many more available positions than nurses to fill them. Employment is expected to grow at a fast pace because the nursing industry is a large industry and many new jobs will be created in addition to filling the needs of already understaffed facilities. Nurses can pick of many different specializations or be general study nurses. Education will include a minimum of completion of a nursing program or bachelor's degree and also a passing grade on the state licensing examination.

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