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QUALITY ASSURANCE REVIEW SPECIALIST

Reads, understands, interprets, and analyzes medical records, forms, authorizations that are relevant to the ROI process. Organizes records and documents. Sends notifications to requestor when applicable. Completes internal qualit...

CompanyVerisma
AddressLake Mary, FL
CategoryManufacturing
Job typeFull-Time
Date Posted 2 months ago See detail

Quality Assurance Review Specialist

Verisma

Lake Mary, FL

Reads, understands, interprets, and analyzes medical records, forms, authorizations that are relevant to the ROI process. Organizes records and documents. Sends notifications to requestor when applicable. Completes internal qualit...

2 months ago seen See more...

Charge Review Specialist II - Remote

Conifer Revenue Cycle Solutions

Frisco, TX

$20.51 - $30.77 an hour

Ensures accurate and timely charge-capture methodologies are in place and followed for the assigned work unit or service line, and that they are consistent (in terms of standardization) across pertinent areas/facilities as appropr...

2 months ago seen See more...

Medical Bill Review Specialist 3

Mitchell International

Remote - Oregon, United States

The Enlyte Family of BusinessesMitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses...

2 months ago seen See more...

Utilization Review Specialist

Coastal Media Group

Boca Raton, FL

$55,000 - $75,000 a year

Ability to be aggressive in advocating on behalf of our facilities to insurance carries. Ability to communicate effectively with clinical team to understand treatment needs of patients. Understanding of their role in a multi-disci...

2 months ago seen See more...

Bill Review Specialist

Medsource National

Garden City, NY

Upload referrals, medical records and additional documents in designated locations. Enter bill information into Bill Review program. Review EOR for errors or questionable allowances. Contact client if there is missing documentatio...

2 months ago seen See more...

Contract Review Specialist

Snaprecruit.com

Chicago, IL

Up to $53 an hour

401(k). Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift. Bachelor's (Required). Contract Review: 5 years (Required). Risk Management: 5 years (Required). Legal Compliance: 5 years...

2 months ago seen See more...

Plan Reviewal Specialist

Dave Bang Associates, Inc

Mesa, AZ

$18 - $20 an hour

Review construction plan sheets to identify our. Provide Take Offs to Territory Managers as it. Personal ownership of a project from start to finish. Represent the company in a positive and engaging. Assist in the flow of customer...

2 months ago seen See more...

Utilization Review Specialist

Department Of Behavioral Healt

Washington, DC

$89,958 - $115,104 a year

Criminal background check;. Traffic record check (as applicable);. Consumer credit check (as applicable);. Reasonable suspicion drug and alcohol test; and. Post-accident or incident drug and alcohol test....

2 months ago seen See more...

Claims Review Specialist - Accounting/ Revenue Integrity Analyst

Bravens

Los Angeles, CA

REQUIRED EXPERIENCE:Take on a significant role within a world-class health organization. This will involve applying dashboards and processes for continuous analysis of complex revenue cycle functions while also auditing data input...

2 months ago seen See more...

Clinical Quality Review Specialist

Trinity Health

Livonia, MI

Registered Nurse with current license from the state in which practicing. May be required to obtain additional state licenses. . Degree: Bachelor's preferred. Associate nursing degree considered if successfully demonstrated career...

2 months ago seen See more...

Utilization Review Specialist (Behavioral Health)

Canyon Ridge Hospital

Chino, CA

$22 - $28 an hour

Competitive Compensation Canyon Ridge Hospital provides a challenging and rewarding work environment. Growth and development opportunities within UHS and its subsidiaries Minimum Bachelors Level Degree in nursing, social work, ps...

2 months ago seen See more...

CRE Loan Review Specialist II

City First Bank N.a.

Inglewood, CA

Evaluate the financial position of borrowers through financial cash flow analysis including Global Cash Flow, with the goal of identifying problem loans or developing problems in a timely manner in order to minimize losses. Analyz...

2 months ago seen See more...

Surgical Review Specialist, Full-time(Remote)

St. Luke's University Health Network

Allentown, PA

$52.4K - $66.4K a year

Prospectively reviews, validates, and audits OR procedure code assignment for HIM, OR and/or general surgery cases according to AMA CPT-4 coding conventions utilizing EPIC and/or other OR applications as appropriate Identifies pot...

2 months ago seen See more...

Claims Review Specialist - Accounting

Siri Infosolutions Inc

Los Angeles, CA

Analyze complex financial data. Identify trends in revenue cycle operations. Summarize data and present reports to leadership. Serve as liaison with departments to thoroughly define reporting and information requirements. Evaluate...

2 months ago seen See more...

Contract Review Specialist

R. E. Darling Co., Inc.

Tucson, AZ

Contract review and summarization of customer specifications and requirements. Tool Administrator. High school diploma or GED 3+ years related experience. Associate's degree in business or related field preferred. Preferred experi...

2 months ago seen See more...

Utilization Review Specialist

Sai Mental Health

Reno, NV

$20.51 - $25.00 an hour

Flexible schedule. Paid time off. 8 hour shift. Monday to Friday. Reno, NV 89502: Relocate before starting work (Required)....

2 months ago seen See more...

Quality Review Specialist

Metropolitan Jewish Health System

New York, NY

Sign-on Bonuses ORStudent Loan Assistancefor clinical staff. FREEOnline RN to BSN and MSN degree programs! Tuition Reimbursementfor all full and part-time staff. Dependent Tuition Reimbursementfor clinical staff! Generous pai...

2 months ago seen See more...

Senior Batch Record Review Specialist (Sun-Th night shift)

Gsk

Zebulon, NC

$73K - $92.5K a year

Primarily responsible for review, release, and second check of Batch Record documentation for compliance to cGMPs, SOPs and internal and regulatory requirements. Coordinates investigations associated with production deviations, as...

2 months ago seen See more...

Medical Review Specialist/Auditor - Remote

Reviewworks

Remote

$42.3K - $53.6K a year

Reviews/audits medical bills and documentation according to guidelines, RW policies and procedures. Determines if treatment is related and necessary to the covered injury. Advises reimbursement recommendations are appropriate. Pro...

2 months 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...

4 weeks 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...

a month 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...

a month ago seen See more...

Utilization Review (UR) Specialist - Addiction Treatment Program

Renewal Health Group

Los Angeles, CA

Medical, dental, vision, short-term disability, and life insurance. Reimbursement for licensing fees. Education assistance. Employee referral bonus. Healthcare Flexible spending account with $250 company contribution for Full time...

a month ago seen See more...

Remote Auto Body Estimator Reviewer / DRP Support Specialist

G&C Auto Body, Inc.

Eugene, OR

$27.00/hour (This position has a pay scale that consists of the following elements and ranges. Wages include base hourly compensation of between 25 and 30.). We offer medical, dental and vision coverage for you - Plus COPAY Visa!...

a month ago seen See more...

Oasis Review Coding Specialist| Symbii Home Health & Hospice Idaho

Symbii Home Health And Hospice

Idaho, United States

This position will ensure appropriate ICD-9 - ICD-10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.Essential Job Functions/ResponsibilitiesProspectively reviews all OASI...

2 months ago seen See more...

Mid-level Quality Systems Specialist (Material Review Records)(2nd Shift)

Boeing

Everett, WA

Reviews proposals, contracts, regulatory, program and customer requirements ensuring early quality involvement in program development. Prepares and maintains Quality directives, policies, processes, procedures and metrics to assur...

2 months ago seen See more...

Experienced Quality Production Specialist (Material Review/Investigation)

Boeing

Everett, WA

$89,250 - $120,750 a year

Reviews and validates product non-conformances and disposition type, quality procedures and engineering requirements. Performs analysis to identify and evaluate the quality of products, operations and processes to Quality Manageme...

2 months ago seen See more...

Environmental Health Specialist II - Plan Review

Dupage County Health Department

Wheaton, IL

Reviews construction application documents and plans, conducts consultations and performs inspections of new and existing food establishments, child-care facilities, private water supplies, and private sewage disposal systems. . P...

2 months ago seen See more...

Specialist - Utilization Review - Full Time, Days (Hollywood)

Prospect Medical Holdings

California, United States

From $23.20 an hour

Interfaces with all payors and providers requesting authorizations, medical records, and other specific information. Completes payor and provider request for missing or additional documentation. Logs all authorization requests to...

2 months ago seen See more...

Auto Body Estimate Reviewer / DRP Support Specialist

G&C Auto Body, Inc.

Sacramento, CA

$27.00/hour (This position has a pay scale that consists of the following elements and ranges. Wages include base hourly compensation of between 25 and 30.). We offer medical, dental and vision coverage for you - Plus COPAY Visa!...

2 months ago seen See more...

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What are the top cities open Review Specialist jobs?

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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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