Medical Reviewer I

Job Title: Medical Reviewer ILocation: RemoteDuration: 5 months assignment with possible extensionsShift: M - F, 8 am - 4:30 pmJob Summary:As a Medical Reviewer I, you will perform medical reviews using established criteria sets and/or perform utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. You...

Job SummaryWe are seeking a highly skilled Medical Reviewer to join our team at Hornet Staffing, Inc. As a Medical Reviewer, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals.Key...

Job SummaryWe are seeking a highly skilled Medical Reviewer to join our team at Mindlance. As a Medical Reviewer, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals.Key ResponsibilitiesPerforms...

Job Description:We are seeking a skilled Medical Reviewer to join our team at US Tech Solutions. As a Medical Reviewer, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals.Key...

{"Responsibilities": "As a Medical Reviewer with US Tech Solutions, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. You will document decisions using indicated protocol sets or clinical...

About the RoleUS Tech Solutions is seeking a highly skilled Medical Reviewer to join our team. As a Medical Reviewer, you will be responsible for reviewing medical claims and determining the medical necessity of services. You will work closely with our team to ensure that all claims are processed efficiently and accurately.Key ResponsibilitiesReview medical...

Job Title: Medical Claims ReviewerExperis is seeking a skilled Medical Claims Reviewer to join our team. As a Medical Claims Reviewer, you will be responsible for conducting medical reviews using established criteria sets, performing utilization management of professional, inpatient or outpatient, facility benefits or services, and addressing appeals.Key...

Job Title: Medical Claims ReviewerJob Summary:We are seeking a skilled Medical Claims Reviewer to join our team at Experis. As a Medical Claims Reviewer, you will be responsible for conducting medical reviews using established criteria sets, performing utilization management of professional, inpatient or outpatient, facility benefits or services, and...

Job Title: Medical Review NurseUS Tech Solutions is seeking a skilled Medical Review Nurse to join our team. As a Medical Review Nurse, you will play a critical role in ensuring the quality and accuracy of medical reviews and utilization management services.Responsibilities:Perform medical reviews using established criteria sets and/or perform utilization...

Medical Reviewer II Job DescriptionWe are seeking a highly skilled Medical Reviewer II to join our team at BlueCross BlueShield of South Carolina. As a Medical Reviewer II, you will play a critical role in ensuring the accuracy and quality of medical claims and utilization practices.Key Responsibilities:Perform medical claim reviews for complex services,...

Job SummaryWe are seeking a highly skilled and experienced Medical Review Director to lead our medical review team. As a key member of our organization, you will be responsible for directing and overseeing the operations of the medical review team to ensure regulations are met and contractual obligations are maintained.Key ResponsibilitiesDirect and oversee...

Job SummaryWe are seeking a highly skilled and experienced Medical Review Director to lead our medical review, clinical pricing, and re-determination teams. As a key member of our leadership team, you will be responsible for directing and overseeing operations to ensure performance expectations, compliance standards, and budgetary limits are maintained.Key...

About UsCapitol Bridge, LLC is a subsidiary of Capitol Bridge and its affiliated companies. Our mission is to deliver high-quality services and solutions to our customers, including the federal government. We strive to provide innovative ideas and exceptional customer service.Job OverviewThe Medical Reviewer will be responsible for reviewing Medicare denials...

Job SummaryMedStar Health is seeking a skilled Coding Specialist I to join our team in the Facility Outpatient Coding Operations department. As a key member of our team, you will be responsible for coding and abstracting primarily Emergency Department, Observation, and other outpatient records using ICD-10-CM and other applicable patient classification...

Job SummaryMedStar Health is seeking a skilled Coding Specialist I to join our team in the Facility Outpatient Coding Operations department. As a key member of our team, you will be responsible for coding and abstracting primarily Emergency Department, Observation, and other outpatient records using ICD-10-CM and other applicable patient classification...

Job SummaryMedStar Health is seeking a skilled Coding Specialist I to join our team in the Facility Outpatient Coding Operations department. As a key member of our team, you will be responsible for coding and abstracting primarily Emergency Department, Observation, and other outpatient records using ICD-10-CM and other applicable patient classification...

Job SummaryMedStar Health is seeking a skilled Coding Specialist I to join our team in the Facility Outpatient Coding Operations department. As a key member of our team, you will be responsible for coding and abstracting primarily Emergency Department, Observation, and other outpatient records using ICD-10-CM and other applicable patient classification...

Job SummaryMedStar Health is seeking a skilled Coding Specialist I to join our team in the Facility Outpatient Coding Operations department. As a key member of our team, you will be responsible for coding and abstracting primarily Emergency Department, Observation, and other outpatient records using ICD-10-CM and other applicable patient classification...

Job OverviewEurofins USA BioPharma Services is seeking a highly skilled Senior Scientist I to join our team. As a key member of our research and development team, you will be responsible for reviewing work under CGMP and/or GLP guidelines, assisting in the monitoring and reporting of studies, and providing analytical review work on projects and...

MedStar Health is seeking a skilled Coding Specialist I to join our team in the Facility Outpatient Coding Operations department. As a Coding Specialist, you will code and abstract primarily Emergency Department, Observation, and other outpatient records using ICD-10-CM, and other applicable patient classification schemes. You will also perform...