Arizona Licensed Medical Claim Nurse - Spokane Washington

Company: VirtualVocations
Location: Spokane, Washington
Posted On: 01/29/2025

A company is looking for a Medical Claim Review Nurse (RN).



Key Responsibilities

Perform clinical reviews of medical claims to ensure medical necessity and accurate billing
Document clinical review summaries and provide supporting documentation for payment decisions
Serve as a clinical resource and provide training to peers


Required Qualifications, Training, and Education

Graduate from an Accredited School of Nursing
Minimum 3 years of clinical nursing experience
Minimum 1 year of Utilization Review and/or Medical Claims Review experience
Active, unrestricted State Registered Nursing (RN) license in good standing
Bachelor's Degree in Nursing or Health Related Field preferred More...

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