RemoteOtterRemoteOtterThe Medical Claims Review Nurse provides monitoring of member utilization and claim patterns using clinical nursing knowledge and coding expertise to oversee the accuracy of claims for medically necessary care provided to our members.
Healthcare Management Administrators (HMA) is a leading third-party health plan administrator serving the Pacific Northwest and beyond. The company is dedicated to providing medium to large-size employers with tailored health plans that prioritize quality and affordability, backed by exceptional customer service. Recognized as one of 'Washington’s Best Workplaces' for four consecutive years, HMA fosters a culture centered around its core values: People First!, Be Extraordinary, Work Courageously, Own It, and Win Together. The organization is committed to creating an inclusive and flexible work environment that encourages personal development and teamwork, while striving to make a meaningful impact in the healthcare industry.
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Jobs from Healthcare Management Administrators:
Healthcare Management Administrators (HMA) is a leading third-party health plan administrator serving the Pacific Northwest and beyond. The company is dedicated to providing medium to large-size employers with tailored health plans that prioritize quality and affordability, backed by exceptional customer service. Recognized as one of 'Washington’s Best Workplaces' for four consecutive years, HMA fosters a culture centered around its core values: People First!, Be Extraordinary, Work Courageously, Own It, and Win Together. The organization is committed to creating an inclusive and flexible work environment that encourages personal development and teamwork, while striving to make a meaningful impact in the healthcare industry.
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Jobs from Healthcare Management Administrators:
M.T.A
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The Medical Claim Review Nurse (RN) is responsible for reviewing medical claims to ensure compliance with clinical guidelines and regulations in a remote setting.
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