• RN Bill Review

    Sedgwick (Frankfort, KY)
    …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Bill Review **PRIMARY PURPOSE** **:** To review ... Bachelor's degree from an accredited college or university preferred. RN license required. **Experience** Five (5) years of related...in daily application of nurse auditing, utilization review and bill review . **Skills… more
    Sedgwick (09/13/24)
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  • Medical Claim Review Nurse

    Molina Healthcare (Georgetown, KY)
    …+ Assists with Complex Claim review including DRG Validation, Itemized Bill Review , Appropriate Level of Care, Inpatient Readmission, and any opportunity ... analytical team; requires decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the… more
    Molina Healthcare (08/11/24)
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