Physician Coding Review Specialist - Oak Brook, IL

We are seeking a Physician Coding Review Specialist to review assigned codes and ensure accuracy according to established CPT, HCPCS, and ICD-10-CM coding guidelines. The successful candidate will have advanced knowledge of medical terminology, anatomy, and physiology. · Review a ...

We are looking for a Utilization Review Specialist to join our team The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. · Initiate and maintain appropriate verbal and/or written contacts with ...

This role supports the end to end appeals process to ensure timely accurate and compliant resolution of member and provider appeals. · Responsibilities Collaborate across operational teams including the Full Service Unit FSU Provider Telecommunication Center PTC and Medical Manag ...

We are looking for a Utilization Review Specialist to join our team The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. · The full UR function can be performed in applicable jurisdictions. UR ...

+ Utilization Review Specialists bridge between a Utilization Review Nurse and Pre-Clinical Coordinator + Facilitate and schedule appointments as needed + Maintain appropriate electronic and paper files + Interface with inter-disciplinary providers + Basic invoicing at completion ...

We're looking for a Utilization Review Coordinator who truly understands the substance use disorder treatment world and how payors work. · In this role, you'll be a key bridge between our clinical team and payors, making sure our clients get – and keep – the right level of care a ...

This role supports the end to end appeals process to ensure timely accurate and compliant resolution of member and provider appeals. You will collaborate across multiple operational teams uphold regulatory and accreditation standards and contribute to continuous improvement initi ...

This Medical Review Specialist role reviews and analyzes referrals and supporting documentation to determine medical necessity of medical and dental services. · Responds to inquiries sent to the department by other departments and from vendors. · Determines medical necessity on i ...

This position involves reviewing and analyzing referrals and supporting documentation to determine medical necessity of services. The job requires composing approval and denial letters as needed. · Review urgent referrals and Plan renewals to determine Medical Necessity · ...

Review and analyze referrals and supporting documentation to determine medical necessity of medical and dental services. Compose approval and denial letters as deemed appropriate. · ...

Quality Enhancement Support Team Review Specialist at the Department of Children and Family Services in Kane County. The job involves providing regular case consultation, creating team profiles, and making recommendations to management. · Serves as Quality Enhancement Support Tea ...

This position serves as Quality Enhancement Support Team Review Specialist providing regular case consultation in meetings with managers, field supervisors, caseworkers, and investigators making recommendations to address negative trends and performance deviations. · ...

The RN Utilization Specialist reflects the mission, vision, · and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, · and complies with all relevant policies, procedures, guidelines and all other regulatory · and accreditation standards. ...

We are seeking a detail-oriented Operations Specialist - Intermodal to support our growing transportation operation.This role will work cross-functionally with terminals accounting and operations teams to ensure accurate billing cost reconciliation and timely invoice processing. ...

+We are seeking an Operations Specialist - Intermodal to support our growing transportation operation. · +Review toll authority invoices and reconcile chargesPrepare owner-operator toll deductions and settlement support documentationSubmit invoices for payment and support account ...

Job Title: Marketing Specialist · Position Overview · The Marketing Specialist is a hands-on, creative individual responsible for developing, executing, and maintaining high-quality marketing content and brand consistency for Relief Mental Health. This role focuses on creating c ...

Position Overview · The Marketing Specialist is a hands-on, creative individual responsible for developing, executing, and maintaining high-quality marketing content and brand consistency for Relief Mental Health. This role focuses on creating content, building messaging, optimiz ...

This position is an excellent opportunity for a data-driven marketer to own the end-to-end email lifecycle, · from template building to performance analysis, · while contributing to both B2B and B2C marketing environments. · ...

The Marketing Strategist is a hands-on, creative individual responsible for developing, executing and maintaining high-quality marketing content and brand consistency. · This role focuses on creating content, building messaging optimization of technology execution digital physica ...

The Marketing Strategist is a hands-on, creative individual responsible for developing and executing high-quality marketing content and brand consistency. · Create, review, and finalize external-facing content including social media posts. · Develop and execute regional marketing ...