Remote RN Claims Reviewer - Health Plan
Fort Wayne, Allen County, Indiana, 46801, USA
Listed on 2026-10-30
-
Nursing
RN Nurse
Sentara Health Plans is hiring a Clinical Claims Reviewer (RN) for a remote, full-time role. The RN will perform utilization management, pre/post payment reviews, and authorization assessments across inpatient, outpatient, concurrent, and retrospective cases.
Responsibilities include processing provider inquiries, ensuring compliance with policy and regulatory standards, and applying CMS/DMAS criteria to coding accuracy.
For the Remote RN Claims Reviewer
- Health Plan position at Sentara Health, we are reviewing applications now.
Join Sentara Health and contribute to our ongoing work.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the Remote RN Claims Reviewer
- Health Plan role at Sentara Health, based in IN, United States.
We are looking to fill the Remote RN Claims Reviewer
- Health Plan position at Sentara Health in IN, United States.
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