~Desired Skills and Experience
• At least 2-3 years’ experience in financial services, although no direct knowledge of reinsurance is needed.
• Strong communication skills, ability and confidence to challenge existing procedures & use of system
• Detailed oriented and strong problem solver with analytical abilities, Demonstrated positive attitude
• Ensure data quality/contract setup in reinsurance systems
• Contract validation
• Analyze, review and ...
Are you an outstanding workers’ compensation Registered Nurse (RN) Case Reviewer looking for a great DIRECT HIRE opportunity? Chosen by a leading online healthcare publication in their Best Places to Work, this leading insurance provider is looking for a top-notch Nurse Case Reviewer to join their dynamic team.
The Registered Nurse (RN) Case Reviewer will:
Facilitates utilization review, continued stay reviews, utilization management, and discharge planning for workers’ compensation ...
This position provides and facilitates utilization review, continued stay reviews and utilization management of all cases as necessary, based on clinical experience and recognized guidelines. MagnaCare provides Utilization Review/Medical Management services to its clients. Cases are reviewed by a licensed RN or LPN. The Nurse Case Reviewer reports to the UR Department Manager for clinical activities. Candidate is knowledgeable and compliant with all regulatory and statutory regulations that ...
JOB ID: NY5251
Job Title: Billing Clerk
Company: Job Chit Chat
• Entering, submitting and following up on insurance claims
• Accurately bill and post payments to patient accounts
• Responsible for reviewing patient accounts
• Advanced in most computer software
• Able to adjust to any situation and environment
Salary: $17/Hour DOE
Hours: Full Time
Location: College Point, Queens, NY
Hours: 8am to 4pm
• Evaluate policy coverage and contact insured’s, claimants, attorneys and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements
• Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage and determine compensability ...
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