Case Review Specialist - Pasadena, CA

CAREER OPPORTUNITYCASE REVIEW SPECIALIST · *We are not currently hiring for this role, but are accepting applications to join our waitlist.* · A reputable, fast-growing law firm practicing employment law is seeking to fill full-time Case Review Specialists in its Pasadena office ...

At Warner Music Group, we're a global collective of music makers and music lovers, tech innovators and inspired entrepreneurs, game-changing creatives and passionate team members. Here, we turn dreams into stardom and audiences into fans. We are guided by three core values that u ...

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 ...

At Warner Music Group, we're a global collective of music makers and music lovers, tech innovators and inspired entrepreneurs, game-changing creatives and passionate team members. Here, we turn dreams into stardom and audiences into fans. We are guided by three core values that u ...

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 ...

+ 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 ...

At Warner Music Group, we're a global collective of music makers and music lovers, tech innovators and inspired entrepreneurs, game-changing creatives and passionate team members. Here, we turn dreams into stardom and audiences into fans. We are guided by three core values that u ...

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 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 is responsible for conducting thorough reviews of behavioral health medical records to ensure accuracy compliance and completeness. · ...

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), ...

Cooperidge Consulting Firm is seeking a Coding Quality Review Specialist for remote position. · Coding specialist responsible for internal quality assessments of coding accuracy and compliance across inpatient and outpatient records. Ensures adherence to national coding standards ...

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 ...

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 · ...

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 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. · ...