Clinical Claim Review RN

RemoteMid Level
Officially published on11/20/2025
Annual Salary$58,801.6 - $104,998.4

Role Activities

  • Conduct forensic reviews
  • Complete billing analysis
  • Maintain documentation

Requirements Summary

RN with 2+ years clinical experience in acute care; active RN license (or LPN in residence); 1+ year bill review experience; proficient in Microsoft Office; strong written and verbal communication; good organizational and analytical skills.

Other Requirements

Year of Experience Required:3
Working Language:English
Company Info
Optum

Optum

Optum, Inc. is an American healthcare company that provides technology services, pharmacy care services (including a pharmacy benefit manager) and various direct healthcare services.

Founded in:2011

Industry

Medical OrganizationsHealth Care CompaniesFinancial Services Companies

Activities

  • health care
  • analytics
  • coworking space
  • healthcare
  • innovation
  • insurance
  • pharmacy benefits manager
  • subsidiary
  • pharmacy
  • mail order pharmacy
  • medical
  • pharmaceutical
  • education
  • delivery
  • employee benefits
  • health and medical
  • hospice
  • pharmaceutical consultants
  • hospices
  • pharmacies
  • 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
  • health insurance carriers
  • drugs and druggists' sundries merchant wholesalers
  • drugs, drug proprietaries, and druggists' sundries
  • wholesale of other household goods
  • wholesale of perfume and cosmetics
  • wholesale of pharmaceutical goods
  • wholesale of watches and jewellery
  • wholesale of furniture, carpets and lighting equipment
  • wholesale of electrical household appliances
  • funds, trusts, and other financial vehicles
  • finance and insurance
  • software
  • business services
  • healthcare software
  • finance and insurance, financial services
  • 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
  • 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
Original Job Info