Claims Review Nurse

Location: Long Beach, California
Posted On: 3/15/2017
Job Code: 4710_CN
Job Description
• Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation.
• Monitors and controls backlog and workflow of claims.
• Ensures that claims are settled in a timely fashion and in accordance with cost control standards.
Category:IT  code:new
Job Requirements
• 1-3 years clinical nursing experience, including 1 year Utilization Review and/or Medical Claims Review experience.
• Experience demonstrating knowledge of ICD-9, CPT coding and HCPC.
• Experience demonstrating knowledge of Medicaid, Medicare, and other insurance plans.
• Active, unrestricted State Registered Nursing (RN) license in good standing.

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Contact Details
Namrata Rani
E-mail Address