RN Clinical Claim Review Nurse
A company is looking for a Clinical Claim Review Nurse - National Remote. Key Responsibilities Conduct forensic reviews and analyze hospital facility bills to determine payment adjustments Complete focused reviews of medical records and assist with claims resolution as needed Perform research to support audit adjustments and respond to inquiries from team members Required Qualifications High School Diploma/GED (or higher) Active and unrestricted RN OR LPN in state of residence 2+ years of clinical experience within an acute care setting 1+ years of experience working with bill review
A company is looking for a Clinical Claim Review Nurse - National Remote.
Key Responsibilities
Conduct forensic reviews and analyze hospital facility bills to determine payment adjustments
Complete focused reviews of medical records and assist with claims resolution as needed
Perform research to support audit adjustments and respond to inquiries from team members
Required Qualifications
High School Diploma/GED (or higher)
Active and unrestricted RN OR LPN in state of residence
2+ years of clinical experience within an acute care setting
1+ years of experience working with bill review
