Remote RN Medical Reviewer: Claims & Compliance

Broadway Ventures LLC is seeking an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud and abuse referrals. You will apply clinical expertise and established coverage guidelines to determine medical necessity and support accurate payment determinations.

You will educate internal and external teams on medical review processes, coverage determinations, and coding requirements, and support quality control activities and special

This is an excellent opportunity to take on the Remote RN Medical Reviewer:
Claims & Compliance role at Broadway Ventures LLC.

If your experience matches this role, we encourage you to apply.

All applications are reviewed carefully by our team.

The position is based in OR, United States.

This opportunity is part of our work in Bio & Pharmacology & Health.

The advertised compensation is 62.000 - 65.000.