Arizona Licensed Medical Claim Nurse
Company: VirtualVocations
Location: Gary
Posted on: February 4, 2025
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Job Description:
A company is looking for a Medical Claim Review Nurse (RN).
Key Responsibilities
Perform clinical reviews of medical claims to ensure medical
necessity and accurate billing
Document clinical review summaries and provide supporting
documentation for payment decisions
Serve as a clinical resource and provide training to peers
Required Qualifications, Training, and Education
Graduate from an Accredited School of Nursing
Minimum 3 years of clinical nursing experience
Minimum 1 year of Utilization Review and/or Medical Claims Review
experience
Active, unrestricted State Registered Nursing (RN) license in good
standing
Bachelor's Degree in Nursing or Health Related Field preferred
Keywords: VirtualVocations, Palatine , Arizona Licensed Medical Claim Nurse, Healthcare , Gary, Illinois
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