healthcare clinician - claim validation specialist - Bowling Green - beBeeClinicalReviewer

    beBeeClinicalReviewer
    beBeeClinicalReviewer Bowling Green

    1 day ago

    Job title: Medical Review Nurse

    Description

    Job Opportunity: Clinical Reviewer

    We are seeking a skilled Clinical Reviewer to join our team. In this role, you will be responsible for conducting clinical reviews of medical claims and internal appeals.

    Responsibilities:

    • Clinical review of retrospective medical claim reviews, medical claims, and previously denied cases;
    • Evaluation of member medical records and associated claims submitted/correct coding;
    ,

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