- Robert Half Accountemps (Los Angeles, CA)
- Description A Hospital in Los Angeles is seeking a detail-oriented EOB Review Specialist to join the healthcare billing team. The EOB Review Specialist ... communicate effectively with patients and insurance providers. Key Responsibilities: + Review EOBs for accuracy, completeness, and compliance with healthcare billing… more
- Medical Center Hospital (Odessa, TX)
- + Position Summary: The Utilization Review Specialist /Outcomes Specialist conducts concurrent and retrospective review functions in support of the ... hospital Utilization Review Program and makes appropriate referrals to designated Physician Advisors. + Qualifications: A. Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse. B. Training and… more
- Koniag Government Services (Washington, DC)
- **Koniag Government Services company** is seeking a Correlation Review Specialist Level I to support our government customer in Washington, DC. Must be able to ... and more. Koniag Government Solutions (KGS) is seeking a Correlation Review Specialist Level I to support the National Nuclear Counterterrorism Center (NNCTC)… more
- Consolidated Electrical Distributors (Irving, TX)
- Summary Job title: Remote Position - Quality Control\Plan Review Specialist Job ID: null Department: Greentech Design Services Location: null-null Description ... Greentech Renewables' Design Services Team is looking for a Quality Control\Plan Review Specialist to complete locally code-compliant plan-sets conforming to… more
- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and ... customer service to Rx Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand in hand with a licensed pharmacist… more
- Sanford Health (WI)
- …time **Weekly Hours:** 40.00 **Salary Range:** 31.00 - 49.50 **Job Summary** The Peer Review Specialist facilitates provider peer review processes at a ... persons and committees for use in Medical Staff peer review processes and activities to include case review... review processes and activities to include case review , Ongoing and Focused Professional Practice Evaluation, and evaluation… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of ... and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and transitions of care,… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- **Summary of the Position:** The Private Bank Quality Review Specialist position is comprised of the quality review of documents and assisting in supporting ... which are ultimately sent to the customer for their signature. The job of quality review is a demanding one that requires extreme attention to detail and an acute… more
- CTG (KY)
- …Kentucky (remote) **Duration:** 12 months CTG is seeking a detail-oriented Disability Review Specialist to evaluate foster care case files for potential ... submissions to SSA in compliance with federal regulations. **Key Responsibilities:** + Review and analyze case files to determine eligibility for SSI childhood… more
- Hunterdon Health Care System (Flemington, NJ)
- This is an in-person role. Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure the ... effective and efficient use of hospital services and monitors the appropriateness of hospital admissions and extended hospital stays. The evaluation of the appropriateness and medical necessity of health care services, procedures, and facilities is conducted… more