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Review Specialist jobs

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CASE REVIEW SPECIALIST

Process cases and request/maintain clinical documentation and transmit timely determinations via the companys internal system and/or by phone to the provider and/or member and/or payer. Collect and transfer non-clinical data into...

CompanyOncohealth
AddressGuaynabo, PR
CategoryHuman Resources
Salary$16 an hour
Date Posted 5 days ago See detail

Case Review Specialist

Oncohealth

Guaynabo, PR

$16 an hour

Process cases and request/maintain clinical documentation and transmit timely determinations via the companys internal system and/or by phone to the provider and/or member and/or payer. Collect and transfer non-clinical data into...

5 days ago seen See more...

UTILIZATION REVIEW SPECIALIST

Fresno County

Fresno, CA

Applicants must meet the minimum qualifications and filing requirements for this position by the filing deadline.. A completed Fresno County employment application is required and must be current, complete and accurate. Amendments...

7 days ago seen See more...

Utilization Review Specialist

Goat Solutions, Llc

Florida, United States

$55,000 - $65,000 a year

Minimum of 1 year experience in substance abuse or behavioral health Utilization Review. Experience in EMRs. Proficient with computer programs (Google Drive, Word, etc). Ability to manage an active caseload for clients at the deto...

a week ago seen See more...

Utilization Review Specialist

Congress Billing

Remote

$60,000 - $70,000 a year

Master's degree from an accredited college or university in social work, mental health, nursing, or related degree Required. Knowledge of behavioral health systems and Utilization Management required. Two years of UR experience in...

2 weeks ago seen

Payroll Review Specialist

Consilium Staffing

Irving, TX

Minimum 1 year experience working with corporate payroll data. Minimum 1 year experience working with expense reconciliation. Minimum 1 year knowledge of Salesforce or other CRM. Superior organizational skills, ability to prioriti...

2 weeks ago seen See more...

Quality Review Specialist Part-Time Home Care

Adventhealth Home Care Central Florida

Orlando, FL

$35.16 - $52.74 an hour

Commitment to whole-person care, giving you the opportunity to help heal people in mind body and spirit. Fulfilling work with people who treat you like family. Excellent benefits, market-driven wages and career development opportu...

3 weeks ago seen See more...

Utilization Management & Review Specialist

Med-Metrix

Parsippany, NJ

Serve as point of contact for client operational staff members impacted by UM/UR Processes. Track and monitor solutions implemented for clients and operational staff. Identifies system needs to support short and long term product...

a month ago seen See more...

Sr. Biodefense Regulated Quality Review Specialist

Alakaina Family Of Companies

Frederick, MD

Work with Chief, RRA, study directors, principal investigators, and other key staff to perform Quality Reviews of documents and records associated with nonclinical studies, to include those conducted under FDA Good Laboratory Prac...

a month ago seen See more...

Denial Coding Review Specialist

Parallon

Brentwood, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

a month ago seen See more...

Denial Coding Review Specialist

Work From Home

Nashville, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

a month ago seen See more...

Condo Review Specialist

Cc Mortgage

Cleveland, OH

Ensure condominium and cooperative projects are underwritten accurately and in a timely manner. Maintain approved/ declined condominium and cooperative projects lists and manage expiration dates. Manage lender concentration. Maint...

a month ago seen See more...

Operating Room Charge Review Specialist PRN

Facilityfrye Regional Medical Center

Olin, NC

Reviewing Charges: Review Operating Room Charges to ensure accuracy and completeness. Verify that charges align with documentation of supplies and implants used and coding guidelines. Identify any discrepancies or inconsistencies...

a month ago seen See more...

Process Review Specialist

Corporate Office Caris

Knoxville, TN

Competitive Salary. Bonus Eligibility. Eligible for benefits within 60 days. Health Benefits (Medical, Dental, Vision); health savings account. Earned Time Off. 401 (K) plan with company match. Paid Training. Mileage Reimbursement...

2 months ago seen See more...

Pre Documentation Review Specialist

Regent Bank

Tulsa, OK

Review initial loan approval and work with lender/loan assistant to ensure documents are accurate and sent within specific timeframe required. Input/review loan information within Laser Pro Software. Perform review process before...

2 months ago seen See more...

Quality Service Review Specialist (BHJOB1435_31788)

Astyra Corporation

Merrifield, VA

Complete QSR training and maintain a 95 percent interrater reliability confidence level in the implementation of the QSR processes and documentation of responses and results in the electronic tools. Conduct onsite individual servi...

2 months ago seen See more...

Signature Card Review Specialist I

First Financial Bank

Terre Haute, IN

Verifies Signature Cards and supporting documents used for deposit account opening or revision. Advises Personal Bankers and Retail Managers of account opening/revision requirements taught in standardized training. Perform image q...

2 months ago seen See more...

Utilization Review Specialist

Ambrosia Treatment Centers

Lorida, FL

From $69,900 a year

401(k). Dental insurance. Disability insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift. Monday to Friday. Bachelor's (Preferred). Utilization review: 2 years (Required). Florida (Required)....

2 months ago seen See more...

Quality Review Specialist (RN, PT, OT, or ST) OASIS Experience Required

Lhc Group

Lafayette, LA

Responsible for the timely review of plan of care and OASIS time points in the electronic medical record to ensure accuracy of OASIS items, documentation, and utilization for quality and outcome management through clinician collab...

2 months ago seen See more...

Loan Documentation Review Specialist

Citizens Bank

Lafayette, TN

$35.7K - $45.2K a year

High School Diploma or equivalent. Three years experience with a bank, title company or law office preferred; experience in a credit/lending environment with consumer and/or commercial Loan Documentation preferred Experience with...

2 months ago seen See more...

Utilization Review Specialist

Charlie Health

Remote

$61K - $77.2K a year

Oversees all functions of a virtual IOP caseload. Completes peer reviews on cases with insurance. Collaborates at a high level to problem solve on complex cases with Manager. Completes pre-certs and continued stay authorizations f...

2 months ago seen See more...

Utilization Review (UR) Specialist

Spectrum Billing Solutions

Remote

$53.5K - $67.8K a year

Review patient admission and clinical information to ensure medical necessity and compliance of Utilization Review guidelines. Obtain initial and continuing authorization for treatment services. Manage authorization denials includ...

2 weeks ago seen

Rewards Review Engagement Specialist Rewards Review Engagement Specialist

Médecins Sans Frontières

New York, NY

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4 weeks ago seen See more...

Rewards Review Engagement Specialist Rewards Review Engagement Specialist

Médecins Sans Frontières

United States

Act as point of contact in MSF USA for staff and the Rewards Review team . Act as a reference point internally for colleagues for questions, information, and further engagement on the project . Support MSF USA leadership in ensuri...

4 weeks ago seen See more...

Accounts Receivable Specialist, Data Entry, Contract Review, 100% Remote

Cognizant Technology Solutions

Earth City, MO

$43,100 - $50,800 a year

Contract entry;. Set up of Single and Multisite Client Sites in GEDI Service System;. Acts as contract entry back-up for all Accounting EA Reps during beginning of month invoicing and for PTO periods. Works with Sales and Sales Su...

2 months ago seen See more...

Sr Specialist, Process Review - Remote

Molina Healthcare

Long Beach, CA

$44,936.59 - $97,362.61 a year

Conduct interviews with staff and management to assess internal business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures and other...

2 months ago seen See more...

Staff Development Specialist in Utilization Review

Reportprep, Inc

Palestine, TX

$45,000 - $75,000 a year

401(k) matching. Dental insurance. Disability insurance. Employee assistance program. Flexible spending account. Health insurance. Health savings account. Life insurance. Paid sick time. Paid time off. Vision insurance. Monday to...

2 months ago seen See more...

What should I search to find Review Specialist jobs?

People who searched for Review Specialist jobs also searched for Physician Specialist, Community Support Specialist, Account Specialist, Disaster Recovery Specialist, Transportation Specialist, Emergency Management Specialist, Engagement Specialist, Program Support Specialist, Scheduling Specialist, Customer Relations Specialist, Claims Resolution Specialist, Properties Specialist, Medical Assistant Specialist, Web Analytics Specialist, Support Team Specialist, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

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What are the top cities open Review Specialist jobs?

There are open Review Specialist jobs in several cities including Napa, Cheboygan, Monroe, Murrieta, Highland Park, Cleveland, Placerville, North Dartmouth, Philadelphia, San Diego, Roslyn, Valley Cottage, Sumter, Tucson, Jenks,

What companies are hiring for Review Specialist jobs?

The top companies hiring now for Review Specialist jobs are Aftermath Billing, Baby-Friendly USA Inc, Cadence Bank - 3.5, CIOX Health, City of Danville, VA, City of Danville, VA, City of Fort Lauderdale, FL, City of Fort Lauderdale, FL, CrossCountry Mortgage, LLC., CrossCountry Mortgage, LLC., OneVizion, Inc., OrthoCarolina, Parallon - 3.2, PGE, Phila.gov | Human Resources -,

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