- Caring Transitions (Lutz, FL)
- …for you. Position Summary: We're looking for a detail-oriented and self-motivated Online Auction Review Specialist to help ensure the quality and accuracy of our ... mission, we would love to have you on our team! Key Responsibilities + Review auction lots and provide feedback on missing details (eg, dimensions, model numbers,… more
- Sedgwick (Sacramento, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates ... and supporting documentation submitted by contractors/adjusters, using various estimating applications; to ensure estimates follow client and regulatory requirements and meet Property guidelines; to serve as a subject matter expert on property restoration… more
- Spectrum Billing Solutions (Skokie, IL)
- …billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR ... Insurance Specialist | UR Specialist | Revenue Cycle Utilization Review Specialist | ABA Utilization Review Specialist | ABA Utilization… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible ... for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD) treatment at… more
- HonorHealth (AZ)
- …because it does. Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization of health care ... quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and ... care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and other governmental or… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a CDI Concurrent Review and Query Specialist ? At HCA Healthcare, you come first. HCA Healthcare has ... opportunity to make a difference. We are looking for a dedicated CDI Concurrent Review and Query Specialist like you to be a part of our team. **Job Summary and… more
- CaroMont Health (Gastonia, NC)
- Job Summary: Completes initial review for medical necessity for all admissions in assigned area(s), applying established criteria within 24 hours of admission. ... advisor and /or second level reviewer when necessary. Documents initial review , communications, and referrals in permanent medical record. For all observation… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The UR-CR Specialist I is primarily responsible for ensuring that patient care services are appropriately recorded and utilized in accordance with ... contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients are at… more
- Bank OZK (Ozark, AR)
- …more about Bank OZK benefits (https://careers.ozk.com/benefits) . Job Purpose & Scope Review all loan documents for Bank loan policy and compliance issues. Essential ... Job Functions + Review consumer non-real estate and business non-real estate loan...Agricultural secured loans such as cattle and/or crops + Review collateral records for completeness and send requests for… more