RN Clinical Claim Review Nurse
Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025
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Job Description:
A company is looking for a Clinical Claim Review Nurse -
National Remote.
Key Responsibilities
Conduct forensic reviews and analyze hospital facility bills to
determine payment adjustments
Complete focused reviews of medical records and assist with claims
resolution as needed
Perform research to support audit adjustments and respond to
inquiries from team members
Required Qualifications
High School Diploma/GED (or higher)
Active and unrestricted RN OR LPN in state of residence
2+ years of clinical experience within an acute care setting
1+ years of experience working with bill review
Keywords: VirtualVocations, Colton , RN Clinical Claim Review Nurse, Healthcare , Vista, California
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