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VITAS Healthcare
Overview
The Coordinator Claims II is responsible for validating services rendered to Vitas patients by checking billed data on claims and invoices against contracted negotiated financial arrangements. This role also involves applying general claims/invoice processing procedures and guidelines for all billed services.
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Compensation
Salary not listed
Posted
2 months ago
CorVel Corporation
The Professional Review Analyst evaluates the accuracy of charges and the medical necessity of care provided by analyzing medical services and billing across various claim types. Essential functions include identifying review necessity, communicating concerns, collecting and analyzing supporting data to make billing and care appropriateness decisions, and documenting conclusions.
$19 - $31 / HOUR
3 months ago
The Professional Review Nurse analyzes medical services to determine the appropriateness of charges on medical bills and reviews medical reports to assess the quality of medical care provided. Key duties involve identifying review necessity, collecting and analyzing data, and using clinical expertise to detect inappropriate billing practices and errors.
$70,304 - $85,473 / YEAR
NORTH EAST MEDICAL SERVICES
The Claims Examiner II is responsible for reviewing, auditing, and adjudicating hospital and professional claims while ensuring compliance with established guidelines. They also prepare documentation for audits and assist in training entry-level staff.
$37 - $42 / HOUR
5 months ago
