To support a growing Appeals and Disputes team, the full-time Clinical Bill Reviewer (RN License) will review and investigate provider disputes related to Payment Integrity findings, focusing on high-dollar facility claims and itemized bills in a remote work environment. Key responsibilities Review and investigate provider disputes related to Payment Integrity audit findings Analyze itemized bills, UB-04 claim forms, medical records, and clinical documentation to assess billing accuracy Develop clear, well-supported written responses to provider disputes while managing a high-volume case queue Required qualifications 3+ years of experience in Payment Integrity, medical bill review, or claims auditing Hands-on experience with itemized bill reviews and high-dollar facility claims Deep knowledge of medical billing, coding, and clinical documentation Active RN license preferred At least one relevant certification (e.g., CPC, CIC, CRC, CPMA) is preferred
Clinical Bill Reviewer (RN License) • Richmond, Virginia, United States
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.The work you do here impacts the lives of millions of people ... Show more
About Civica:Critical shortages of essential generic injectable drugs are an ongoing crisis in U.Over 300 essential medications are currently reported to be in shortage, according to industry and F... Show more
Colonial Heights Health and Rehab Center in Colonial Heights, VA is seeking a qualified individual to join our growing team as Assistant Director of Nursing (ADON).As an ADON, you are at the forefr... Show more
Registered Nurse (RN) Hopewell, VA.A healthcare organization is seeking a dedicated Registered Nurse (RN) to join its patient care team.This opportunity is ideal for nursing professionals who are ... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
DaVita is seeking a Clinical Coordinator who is looking to give life in an outpatient dialysis center.You can make an exceptional difference in the lives of our patients and their families dealing ... Show more
Physical Therapy Travel Position.Equal Opportunity Employer: MedSource LLC is an equal opportunity employer and does not discriminate against any individual based on race, color, religion, sex, sex... Show more
CRNA Opportunity At Bon Secours Southside Medical CenterCRNA opportunity practicing with Bon Secours Southside Medical Center, 300-bed facility located on a 50-acre campus in Petersburg, VAWith thr... Show more
Physical Therapist - Outpatient Orthopedics.Location: Colonial Heights, VA.Schedule: Full-time, Monday-Friday.Compensation: $75,000 - $90,000/year.Incentives: $20K Bonus and Student Loan Payment Pr... Show more
Job Opportunity: Patient Coordinator at Ivy Rehab for Kids.Position Summary: Our Patient Coordinators are the backbone of our clinics and have a direct impact on patient experience.They work collab... Show more
Skilled Caregivers And Home Health Aids.Right at Home, In-Home Care & Assistance, is seeking to hire Skilled Caregivers and Home Health Aids to join a dynamic care team providing clinical expertise... Show more
Pharmaceutical Sales Associate - Richmond, VARichmond, United States of America Full time Field-based R1532690We are excited to be hiring for a Pharmaceutical Sales Associate (Entry-Level) role.The... Show more
Mon-Fri schedule that gets you home 1+ nights a week.Sign on bonus + orientation pay.Now under new management, Boyd is focused on what drivers want most: more home time, better planning, and expand... Show more
CommuniCare Rehab, a member of the CommuniCare Family of Companies has a PRN opening for a Physical Therapist (PT) at Petersburg Healthcare Center, where our therapists are In-House Team Members.Th... Show more
Are you a leader who sets the standard for quality patient care?Virginia Oral & Facial Surgery does more than deliver exceptional oral and maxillofacial surgical care across the Greater Richmon... Show more
Physical Therapist Career Opportunity Join a Team That Puts Your Passion for Care First Are you seeking a fulfilling career that feels like home and lets you make a meaningful impact? At Encompass ... Show more
Get a maximum of $400 in bonuses in Richmond.Earn $100 for every 10 rides in 7 days (limit 4).Lyft is a flexible earning opportunity and a platform that connects drivers with individuals that need ... Show more
As a Clinical Operations Coordinator RN, your voice to influence patient care is valued and empowered at every turn “whether through open, collaborative relationships with ... Show more
Octapharma Plasma - - Responsibilities: Ensure regulatory compliance; Maintain donor safety and product quality; Operate plasmapheresis machines and respond to alarms; Record keeping and quality co... Show more
At Powerback, we're on a mission to improve lives.As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive.With over four decades of t... Show more
