Talent.com
VirtualVocations
Clinical Bill Reviewer (RN License)VirtualVocations • Concord, California, United States
Clinical Bill Reviewer (RN License)

Clinical Bill Reviewer (RN License)

VirtualVocations • Concord, California, United States
2 days ago
Job type
  • Full-time
Job description
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
Create a job alert for this search

Clinical Bill Reviewer (RN License) • Concord, California, United States

Similar jobs

Material Review Board (MRB) Coordinator

The New IEM LLC dba Industrial Electric Mfg.Fremont, CA, United States
Full-time

Material Review Board (MRB) Coordinator.Fremont, California, United States.At IEM, we're not just building innovative electrical distribution systems, we're shaping the future.IEM is dedicated to d... Show more

 • Promoted

Virtual Premium Audit Consultant II - Residency in California (Remote)

AF - GroupWalnut Creek, CA, United States
Remote
Full-time

Level II Virtual Premium Auditor.At AF Group, our affiliate brands deliver innovative insurance solutions and exceptional customer experiences.Consistently recognized by Business Insurance as one o... Show more

 • Promoted

Med Tech

Atria Senior LivingWalnut Creek, CA, United States
Full-time +1

We create communities where employees thrive in their work, helping our residents thrive in their homes.Atria Senior Living's family of brands has openings for individuals looking for a career with... Show more

 • Promoted

Billing SpecialistFremont, CA

PersonalisFremont, CA, United States
Full-time

Billing SpecialistAt Personalis, we are transforming the active management of cancer through breakthrough personalized testing.We aim to drive a new paradigm for cancer management, guiding care fro... Show more

 • Promoted

Government Programs - Billing Supervisor

Washington Hospital Healthcare SystemFremont, CA, United States
Full-time

Hospital Government Billing Supervisor.Salary Range: 92,000 - 133,000 Division: Finance.Position Summary: The Hospital Government Billing Supervisor is responsible for directing the day-to-day oper... Show more

 • Promoted

Bilingual Loan Sales Specialist

OneMain HoldingsFairfield, CA, United States
Full-time

At OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life's expenses.In this role, our team members ... Show more

 • Promoted

Director Clinical Quality Improvement

Veracity SolutionsSan Ramon, CA, United States
Full-time

Director Clinical Quality Improvement.The individual in this position is a key member of the hospital management team, and provides leadership and oversight to the strategic development and impleme... Show more

 • Promoted

Medical Biller and collections

Robert HalfFremont, CA, United States
Permanent +1

Description We are looking for an experienced Medical Biller and collections specialist to support coding accuracy, reimbursement follow-up, and account resolution for outpatient services in Frem... Show more

 • Promoted

Billing Clerk

Robert HalfHayward, CA, United States
Permanent

Description We are looking for a detail-oriented Billing Clerk to join a construction-focused accounting team in Hayward, California.This Long-term Contract position will support project invoicing,... Show more

 • Promoted

Regional Director of Patient Care Services (RN/PT)

21st Century Home Health ServicesWalnut Creek, CA, United States
Full-time

Regional Director Of Patient Care Services.At 21st Century Home Health Services (21HHS), we are committed to treating every patient with the same empathy, compassion and understanding that we would... Show more

 • Promoted

RN Manager Operating Room

Sutter HealthPleasanton, CA, United States
Full-time

Sutter Health Nursing Leadership Position.Manages and provides operational and nursing leadership ensuring the quality of nursing care within preoperative, intraoperative, and postoperative areas.P... Show more

 • Promoted

RCM Auditor

Integrated Pain Management Medical Group, Inc.Walnut Creek, CA, United States
Full-time

Revenue Cycle Management Auditor.The Revenue Cycle Management Auditor is responsible for conducting comprehensive audits across all phases of the revenue cycle to ensure accuracy, compliance, and o... Show more

 • Promoted

LVN | LPT

Crestwood Behavioral HealthFairfield, CA, United States
Full-time +1

Are you looking for a meaningful role in behavioral health and have the desire to work with an organization that puts people first? If you have a passion for helping others along their recovery jou... Show more

 • Promoted

Surgical Services Clinical Manager

Sutter HealthCastro Valley, CA, United States
Full-time

Sutter Health Nursing Leadership Opportunity.Manages and provides overall operational and clinical nursing leadership to an inpatient department(s) or setting.Plans and organizes inpatient nursing ... Show more

 • Promoted

NEW Laboratory Manager - Award Winning Health System (California)

K.A. RecruitingFremont, CA, United States
Full-time

Laboratory Manager Opportunity.Join one of the most respected and reputable reference laboratories in the United States a facility recognized for its rigorous quality standards, advanced testing p... Show more

 • Promoted

Director, Patient Financial Services, Hospital Billing

NorthBay HealthFairfield, CA, United States
Full-time

Director Of Patient Financial Services Hospital Billing.At NorthBay Health, the Director of Patient Financial Services Hospital Billing will be responsible for building and leading a highly effecti... Show more

 • Promoted

Loan Review Manager

Westamerica BankFairfield, CA, United States
Full-time

Job Opportunity At Westamerica Bank.Westamerica is among the largest commercial banks headquartered in California.We are looking for outstanding people to join our winning team.We reached our curre... Show more

 • Promoted

Director, Clinical Solutions

University Medical PartnersNewark, CA, United States
Full-time

University Medical Partners (UMP), formed in January 2017, is a California Professional Corporation committed to restoring joy in medicine and delivering outstanding patient care in our communities... Show more

 • Promoted

Sr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm)

JSG (Johnson Service Group, Inc.)Pleasant Hill, CA, United States
Remote
Full-time

Sr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm).Sr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm) The Senior Claims Examiner will a... Show more

 • Promoted

Clinical Director (LMFT, LPCC, LCSW) - Mental Health 321

TelecareMartinez, CA, United States
Full-time

Clinical Director (LMFT, LPCC, LCSW) - Mental Health 321.Job Category: Direct Care Requisition Number: CLINI029301.Full-Time On-site Martinez, CA - Hope House Martinez, CA 94553, USA.They made it e... Show more