Talent.com
Alabama Licensed Medical Reviewer

Alabama Licensed Medical Reviewer

VirtualVocationsMarietta, Georgia, United States
20 hours ago
Job type
  • Full-time
Job description

A company is looking for a Medical Reviewer II to perform medical reviews and support medical claims.

Key Responsibilities

Conducts medical claim reviews and determines medical necessity based on established criteria and guidelines

Educates staff on medical reviews, terminology, and coverage determinations

Participates in quality control activities and provides guidance to team members

Required Qualifications

Associate Degree in Nursing or Graduate of an Accredited School of Nursing

Active, unrestricted RN license from the United States or a compact multistate RN license

Two years of clinical experience as an RN

Proficiency in Microsoft Office

Create a job alert for this search

Medical Reviewer • Marietta, Georgia, United States

Related jobs
  • Promoted
Insurance Verification Specialist

Insurance Verification Specialist

Insight GlobalMarietta, GA, US
Full-time
Patient Registration Specialist.Interviews each patient or representative in order to obtain complete and accurate demographic, financial and insurance information and accurately enters all patient...Show moreLast updated: 30+ days ago
  • Promoted
Patient Access Representative

Patient Access Representative

Resurgens OrthopaedicsRoswell, GA, US
Full-time
The Patient Access Representative is tasked with checking in a patient, collecting patient copayments, patient registration, handling medical records. He or she is also responsible for performing a ...Show moreLast updated: 5 days ago
  • Promoted
Life and Health Complaints Analyst I

Life and Health Complaints Analyst I

GeorgiaAtlanta, GA, US
Full-time
Under supervision, the Life and Health Complaints Analyst is responsible for assisting in the intake, investigation, analysis, and resolution of complaints related to life and health insurance prod...Show moreLast updated: 30+ days ago
  • Promoted
Patient Service Rep 3 - Imaging

Patient Service Rep 3 - Imaging

HARBIN CLINICRome, GA, US
Full-time
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Show moreLast updated: 14 days ago
Remote Life & Health Policy Advisor – Entry Level

Remote Life & Health Policy Advisor – Entry Level

Summers AgencyRome, GA, US
Remote
Full-time +1
Quick Apply
At The Summers Agency, we're all about helping people protect their families with life insurance and retirement solutions. Our agency is growing fast, and we’re dedicated to providing affordab...Show moreLast updated: 12 days ago
  • Promoted
Medical Asst. / Scribe

Medical Asst. / Scribe

Ankle and Foot Centers of GeorgiaAtlanta, GA, US
Full-time
Prepares patients for examination by taking vitals; recording medical history into Epic.Escorting patients to and from exam rooms. Complying with OSHA and HIPPA regulations.Schedules surgeries by ma...Show moreLast updated: 11 days ago
  • Promoted
Patient Access Specialist (Contract)

Patient Access Specialist (Contract)

RandstadRoswell, GA, US
Full-time
Are you a healthcare professional looking for a patient access representative role? We are looking for experienced patient access representatives that will speak to patients in the cancer center de...Show moreLast updated: 7 days ago
  • Promoted
Medical Billing - Earn Up to $37 / hr

Medical Billing - Earn Up to $37 / hr

TradeJobsWorkforce30132 Dallas, GA, US
Full-time
REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...Show moreLast updated: 30+ days ago
Medical Billing / Frontdesk

Medical Billing / Frontdesk

Urogynecology PCAlpharetta, GA, US
Full-time
Quick Apply
Miklos and Moore Urogynecology is looking for a Receptionist to join our team in our Alpharetta office.The ideal candidate will deliver a professional and qualified first impression to all visitors...Show moreLast updated: 30+ days ago
  • Promoted
Patient Service Rep 3 - Chiro

Patient Service Rep 3 - Chiro

HARBIN CLINICRome, GA, US
Full-time
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Show moreLast updated: 30+ days ago
  • Promoted
Patient Service Rep 3 - Urology

Patient Service Rep 3 - Urology

HARBIN CLINICRome, GA, US
Full-time
Focus on the core content of the job post, removing any extra metadata, navigation mentions, and other non-essential information. The goal is to present a clean, beautiful, and high signal-to-noise ...Show moreLast updated: 12 days ago
  • Promoted
Prior Authorization Technician

Prior Authorization Technician

Insight GlobalAtlanta, GA, US
Full-time
State registered or state certified as a pharmacy tech.If in DL, PA, or NY - must have National certification in lieu of state registration (PTCB or NHA). Experience with prior authorization or test...Show moreLast updated: 8 days ago
  • Promoted
Medical Collector

Medical Collector

Universal Health ServicesAtlanta, GA, US
Full-time
Medical Collector / Patient Account Rep.We are a centralized hospital business office facility performing billing and collection services for behavioral health hospitals around the country.Due to exp...Show moreLast updated: 30+ days ago
  • Promoted
Patient Access Specialist I - ED Services

Patient Access Specialist I - ED Services

Wellstar Health SystemMarietta, GA, US
Full-time
Emergency Department Registration Specialist.How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and ...Show moreLast updated: 30+ days ago
  • Promoted
Patient Access Specialist

Patient Access Specialist

Wellstar Health System, Inc.Marietta, GA, US
Full-time
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At WellStar, our mission i...Show moreLast updated: 30+ days ago
  • Promoted
Pre-Registration Representative I

Pre-Registration Representative I

Northside HospitalAtlanta, GA, US
Full-time
Northside Hospital is award-winning, state-of-the-art, and continually growing.Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity f...Show moreLast updated: 6 days ago
  • Promoted
Medical Records technician

Medical Records technician

TradeJobsWorkForce30157 Dallas, GA, US
Full-time
Organize and manage patients' health information data.Ensure paperwork is properly filled out.Verify accuracy and accessibility of files. Communicate with physicians and other healthcare professiona...Show moreLast updated: 30+ days ago
  • Promoted
Medical Scribe- Emergency Department

Medical Scribe- Emergency Department

SuperScribe LLCAtlanta, GA, US
Part-time
If you are a student or recent Graduate planning to enter the healthcare field, this may be the perfect position for you! To apply, submit your resume, cover letter, and availability via this ad or...Show moreLast updated: 30+ days ago
  • Promoted
Patient Account Representative

Patient Account Representative

U.S. Physical TherapyRome, GA, US
Full-time
Patient Account Representative.Ability Rehabilitation believes in placing the well-being of our patients first.We accomplish this through carefully selecting compassionate, dedicated, and team-orie...Show moreLast updated: 5 days ago
  • Promoted
Medical Secretary

Medical Secretary

TradeJobsWorkForce30157 Dallas, GA, US
Full-time
Medical Secretary Job Duties : Represents physicians by screening incoming telephone calls; recordin...Show moreLast updated: 30+ days ago