HYBRID Utilization Review Specialist - Los Angeles, CA

Westborough Behavioral Healthcare Hospital provides psychiatric stabilization and dual diagnosis treatments for Children Adolescents and Adult populations in both inpatient and outpatient settings Our goal is to ensure patients and their loved ones feel comfortable and are well i ...

+ Job summary + · The Retro Claims Reviewer is responsible for auditing and reviewing medical claims to ensure accuracy, regulatory compliance, and proper adjudication. · This role is ideal for a Licensed Vocational Nurse (LVN) or Registered Nurse (RN) with hands-on experience in ...

The Retro Claims Reviewer is responsible for auditing and reviewing medical claims to ensure accuracy, regulatory compliance, and proper adjudication. · ...

The Medical Record Review Specialist is responsible for conducting thorough reviews of behavioral health medical records to ensure accuracy, · compliance, · and completeness.This role collaborates closely with other departments, · including billing and clinical services, · to uph ...

The Medical Record Review Specialist is responsible for conducting thorough reviews of behavioral health medical records to ensure accuracy compliance and completeness. · ...

+Job summary · Cooperidge Consulting Firm is seeking a Coding Quality Review Specialist for a top healthcare client based in Nashville · +Qualifications Associate's or Bachelor's Degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred · +Re ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · ...

This is a hybrid role based in West Hills, CA. · Audit denied provider and member claims for accuracy and compliance, · Review and process claims in accordance with UM guidelines and regulatory standards, · Analyze benefit structures and system configurations (EZCap or similar), ...

This is a hybrid role based in West Hills, CA. The Utilization Review Specialist will audit denied provider and member claims for accuracy and compliance, review and process claims in accordance with UM guidelines and regulatory standards, analyze benefit structures and system co ...

We are seeking full-time Case Review Specialists to join our team. · Review and analyze documents/information collected from prospective clients, · Summarize important details from documents, · Use analytical skills to connect important facts to one another, · ...

+This individual will be responsible for reviewing work completed by IP Patent Docketing Specialists, ensuring data entered is accurate and corrected when required in order to ensure the highest level of accuracy within our docketing database. · ,+Review all US and foreign patent ...

This individual will be responsible for reviewing work completed by IP Patent Docketing Specialists, ensuring data entered is accurate and corrected in order to ensure the highest level of accuracy within our docketing database. · ...

Job summary · By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. · We invite you to grow your career with us, experience our caring culture and enjoy work-life ...

We are formalizing our new product review and launch support process into a structured project-driven function. · New Product Review Project Management Plan and execute review support projects for newly launched products across Amazon Walmart and TikTok Shop · ...

The Retro Claims Reviewer is responsible for auditing and reviewing medical claims to ensure accuracy, · regulatory compliance, and proper adjudication.This role is ideal for a Licensed Vocational Nurse (LVN) or Registered Nurse (RN) with hands-on experience in Utilization Manage ...

The Medical Record Review Specialist is responsible for conducting thorough reviews of behavioral health medical records to ensure accuracy, compliance, and completeness. · ...

The Mortgage Credit Review Specialist is responsible for conducting thorough reviews of mortgage loan files with a focus on collateral valuation, · and regulatory compliance.Analyze and validate appraisal reports for accuracy, completeness, and compliance with regulatory and bank ...

The Medical Record Review Specialist conducts thorough reviews of behavioral health medical records to ensure accuracy, compliance, and completeness. · ...

The Medical Review Specialist analyzes and audits medical bills from providers to determine appropriate reimbursement. · ...

Serves as a staff member in the Pupil Services Department. Provides support to Resource Specialist Teachers and assists assigned schools with IEP compliance. · ...