Remote Senior Nurse Reviewer - Claims & Utilization Expert Job at Jobgether SRL, United States

  • Jobgether SRL
  • United States

Job Description

Jobgether SRL, listing on behalf of a partner, seeks a Senior Nurse Reviewer based in the United States. You will evaluate medical records, claims, UB-04 forms, and itemized bills to ensure accurate billing and appropriate levels of care using established criteria.

This remote role combines clinical analysis with utilization review and claims auditing. You will mentor other reviewers, participate in training, and maintain knowledge of coding guidelines and policies while meeting production and

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