Clinical Claim Review RN
Role Activities
- Conduct reviews
- Analyze bills
- Maintain records
Requirements Summary
RN license, high school diploma, 2 years acute care exp, 1+ year bill review, Excel proficiency, strong communication and analytical skills, HIPAA knowledge.
Other Requirements
Optum
Optum is a health services and innovation company on a mission to help people live healthier lives and to help make the health system work better for everyone. Optum, part of the UnitedHealth Group family of businesses, is powering modern health care by connecting and serving the whole health system across 150 countries. We combine cutting-edge technology, the world’s largest health care database and vast expertise to improve health care delivery, quality and efficiency. We are revolutionizing health care that serves more than 100,000 physicians, practices and other health care facilities, as well as 127 million individual consumers.
Industry
Activities
- health care
- coworking space
- buildings
- analytics
- innovation
- healthcare
- insurance
- health and medical
- hospice
- pharmacy
- mail order pharmacy
- community/retail pharmacy
- durable medical equipment and medical supplies
- medical
- pharmaceutical
- education
- delivery
- employee benefits
- pharmaceutical consultants
- hospices
- internet service providers
- funds, trusts, and other financial vehicles
- finance and insurance
- software
- business services
- healthcare software
- finance and insurance, financial services
- insurance agencies and brokerages
- warehousing and storage
- insurance carriers
- computer software
- consulting services
- business services sector
- transportation services sector
- information and records management services
- professional services sector
- pharmacy benefits manager
- subsidiary
- support activities for transportation
- transportation and warehousing
- arrangement of transportation of freight and cargo
- transportation services
- freight &a
- logistics services
- transportation
- pharmacy software
- vertical industry software
- healthcare claims management software
- health care software
- e-prescribing software
- value-based performance management analytics software
- bundled pay management software
- services providers
- health services providers
- professional services providers
- healthcare service providers
- pegasystems consulting providers
- implementation services providers
- professional, scientific, and technical services
- legal services
- law firms &a
- email updates
- non-discrimination notice
- health-related resources
- healthcare organization
- language assistance
- hospitals and health care
- health care technology
- health care providers and services
- weight loss program
- clinical research
- health behavior change
- smoking cessation program
- tobacco cessation program
- healthy worksite initiatives
- wellness program
- health, wellness and fitness