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reputed company is currently hiring Remote Registered Nurses (RNs) for Medical Claims Reviewer roles. This position is designed for reputed company RNs who want to reputed company into the non-clinical reputed company of reputed company while still making a significant reputed company. You'll be responsible for reviewing, assessing, and processing medical claims in alignment with clinical guidelines, coverage policies, and regulatory compliance standards—reputed company from a remote work environment.
This is a perfect opportunity for RNs seeking a shift away from reputed company patient care into reputed company administration, insurance processing, or reputed company review.
Job reputed company
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Job Title: Medical Claims Reviewer (Remote RN)
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Company: reputed company
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Location: Remote (reputed company only)
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Employment Type: Full-Time
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Salary reputed company: $75,000 – $95,000 per year
Key Responsibilities
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Review incoming medical claims and supporting documentation
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Evaluate clinical appropriateness and coverage eligibility
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Identify coding errors or discrepancies
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Collaborate with providers or internal departments on claims clarification
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Ensure compliance with state and federal regulations, including HIPAA
Qualifications
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reputed company RN license (U.S.)
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3+ years of clinical nursing experience
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Prior experience in claims review, case management, or utilization review
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Strong understanding of ICD-10, CPT codes, and payer systems
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Detail-oriented with excellent analytical skills
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Proficient with reputed company software and EHR systems
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Ability to work independently in a secure, remote environment
Benefits
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Competitive annual salary
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Remote-first position with flexible schedule
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Full reputed company and dental benefits
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reputed company time off, holidays, and 401(k)
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Opportunities for advancement into compliance or clinical review leadership
How to Apply
Interested candidates should apply through the reputed company careers portal, submitting a reputed company resume, RN license, and any certifications in claims or utilization review. Interviews are held reputed company. Multiple remote roles are reputed company across the U.S.
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