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The Medicaid Medical Review RN (Medical Reviewer III) will conduct clinical ...
Details
Summary
About the job:
reviews of medical records, apply Medicare and Medicaid guidelines, and detect potentially fraudulent or abusive billing practices. Requirements - 2 years minimum experience with a state Medicaid agency or Managed Care Organization focused in Medicaid - 2 years minimum of working knowledge of ICD 10-CM/CPT coding experience - 4 years minimum experience auditing claims history or provider files Benefits - Medical, Dental, Vision plans - Life, LTD and STD paid by the employer - 401(k) with company match up to 4% - Paid...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Investigator - Network Services Vermont Immediate need for an undercover ...
Details
Summary
About the job:
investigator within the largest worldwide investigative solutions company. If you are an adventurous, adaptable, and organized professional who thrives in a fast-paced, mobile environment, we invite you to apply for this exciting role. This position offers competitive compensation, travel allowances, and hotel accommodations to support your dynamic work lifestyle. Join CoventBridge Group as it continues its expansion into all areas of investigations, allowing continual growth for its employees. Responsibilities: Duties...
Location:
Burlington, VT
Job Type:
Full-Time
Permanent
Occupation:
Detectives and Criminal Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CoventBridge Group
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Director of Sales - West Territory CoventBridge is seeking a Director of ...
Details
Summary
About the job:
Sales for our Western Sales Territory. The Director of Sales is responsible for growing his/her sales territory through current clients and new prospects via phone, email and face to face contact. Additionally, the Director of Sales is responsible for the overall performance to goal for each client. Responsibilities: Duties and responsibilities include essential functions of positions assigned to this classification. Depending on assignment, the employee may perform a combination of some or all the following duties: -...
Location:
Los Angeles, CA
Job Type:
Full-Time
Permanent
Occupation:
Sales Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
CoventBridge Group
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Immediate need for a PT Claims Investigator within the largest worldwide ...
Details
Summary
About the job:
investigative solutions company. Conduct multiple types of complex claims investigations, submit updates, and manage time to maintain client billable hours. Requirements - Ability to conduct multiple types of complex claims investigations - Daily submission of updates regarding work performed on each case - Ability to manage time - Maintain a sufficient level of client billable hours - Write and record detailed statements - Conduct scene investigations - Submit professional and client ready investigative reports -...
Location:
Located in Ohio
Job Type:
Part-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Investigator - Network Services Salt Lake City, UT area Immediate need for ...
Details
Summary
About the job:
an undercover investigator within the largest worldwide investigative solutions company. If you are an adventurous, adaptable, and organized professional who thrives in a fast-paced, mobile environment, we invite you to apply for this exciting role. This position offers competitive compensation, travel allowances, and hotel accommodations to support your dynamic work lifestyle. Join CoventBridge Group as it continues its expansion into all areas of investigations, allowing continual growth for its employees....
Location:
Salt Lake City, UT
Job Type:
Full-Time
Permanent
Occupation:
Fraud Examiners, Investigators and Analysts
Career Level / Education:
Bachelor's degree
Salary:
Middle Income Jobs ($30K-$49K)
From:
CoventBridge Group
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Surveillance Investigator - Experienced Charleston, SC Area Now Hiring: ...
Details
Summary
About the job:
Private Field Surveillance Investigator CoventBridge Group is growing—and we’re looking for experienced, licensed investigators to join our elite surveillance team. In this role, you’ll conduct discreet, vehicle-based field investigations to help uncover insurance fraud and deliver trusted results to our clients. As a leader in the fraud investigation industry, CoventBridge offers the opportunity to work remotely with flexible scheduling, advanced tools, and the support of a nationwide team. Ready to make an impact? Join...
Location:
Charleston, SC
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
CoventBridge Group
Certifications / Licenses:
Driver's License
Private investigator License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Claims Investigator (Part-Time) Los Angeles, CA area Immediate need for a PT ...
Details
Summary
About the job:
Claims Investigator within the largest worldwide investigative solutions company. Join CoventBridge Group as it continues its expansion into all areas of investigations, allowing continual growth for its employees. Responsibilities: Duties and responsibilities include essential functions of positions assigned to this classification. Depending on assignment, the employee may perform a combination of some or all the following duties: - Ability to conduct multiple types of complex claims investigations - Daily...
Location:
Los Angeles, CA
Job Type:
Part-Time
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CoventBridge Group
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Surveillance Investigator - Experienced Dallas, TX Area Now Hiring: Private ...
Details
Summary
About the job:
Field Surveillance Investigator CoventBridge Group is growing—and we’re looking for experienced, licensed investigators to join our elite surveillance team. In this role, you’ll conduct discreet, vehicle-based field investigations to help uncover insurance fraud and deliver trusted results to our clients. As a leader in the fraud investigation industry, CoventBridge offers the opportunity to work remotely with flexible scheduling, advanced tools, and the support of a nationwide team. Ready to make an impact? Join the...
Location:
Dallas, TX
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CoventBridge Group
Certifications / Licenses:
Driver's License
Private investigator License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
We are seeking an experienced, licensed investigator to join our elite ...
Details
Summary
About the job:
surveillance team. As a Surveillance Investigator, you will conduct discreet, vehicle-based field investigations to help uncover insurance fraud and deliver trusted results to our clients. Requirements - PI License: Must be eligible to obtain—Private Investigator license in New York and surrounding jurisdictions. - Driver's License: Active driver's license that is not currently suspended or revoked. - Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows). - Technology: A...
Location:
Located in Ohio
Job Type:
Part-Time
Full-Time
Permanent
Occupation:
Fraud Examiners, Investigators and Analysts
Career Level / Education:
Bachelor's degree
Salary:
Middle Income Jobs ($30K-$49K)
From:
Himalayas
Certifications / Licenses:
Driver's License
Private investigator License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Surveillance Investigator - Experienced- Part Time Omaha, NE Area Now ...
Details
Summary
About the job:
Hiring: Private Field Surveillance Investigator CoventBridge Group is growing—and we’re looking for experienced, licensed investigators to join our elite surveillance team. In this role, you’ll conduct discreet, vehicle-based field investigations to help uncover insurance fraud and deliver trusted results to our clients. As a leader in the fraud investigation industry, CoventBridge Group offers the opportunity to work remotely utilizing advanced tools, and the support of a nationwide team. Ready to make an impact? Join the...
Location:
Omaha, NE
Job Type:
Part-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CoventBridge Group
Certifications / Licenses:
Private investigator License
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

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