Remote RN: Medical Claims Review Specialist

Axius Technologies Inc.; Phoenix (AZ); Remote; USD 39,778 - 56,653; Full time

Job summary

An established industry player is seeking a Medical Review Nurse to join their dynamic team in Phoenix. This role involves reviewing and adjudicating medical claims, ensuring compliance with industry standards, and working collaboratively with healthcare providers. The ideal candidate will possess a strong nursing background, excellent organizational skills, and the ability to analyze complex medical documentation. In this position, you will contribute to the efficiency of healthcare delivery while enjoying the flexibility of a primarily remote work environment. If you are passionate about making a difference in healthcare, this opportunity is perfect for you.

Qualifications

• 3+ years of nursing experience in healthcare delivery systems.
• Ability to interpret medical documentation and apply claims policies.

Responsibilities

• Review and adjudicate Federal Emergency Services claim forms.
• Prepare reports analyzing savings and trends.

Skills

Organizational Skills

Utilization Review Skills

Medical Claims Review Skills

Research and Analysis

Good Written and Communication Skills

Education

Active RN License in Arizona

Job description

An established industry player is seeking a Medical Review Nurse to join their dynamic team in Phoenix. This role involves reviewing and adjudicating medical claims, ensuring compliance with industry standards, and working collaboratively with healthcare providers. The ideal candidate will possess a strong nursing background, excellent organizational skills, and the ability to analyze complex medical documentation. In this position, you will contribute to the efficiency of healthcare delivery while enjoying the flexibility of a primarily remote work environment. If you are passionate about making a difference in healthcare, this opportunity is perfect for you.