Utilization Review Specialist - West Palm Beach, FL

The Utilization Review Specialist ensures appropriate level of care determinations, maximizes reimbursement, · and supports clinical teams in maintaining medical necessity and compliance with payer requirements.Obtain and manage initial and concurrent insurance authorizations · ...

Ambrosia Behavioral Health is revolutionizing behavioral, substance use, and eating disorder treatment for adolescents and adults by combining cutting edge neuroscience and precision diagnostics with compassionate, evidence-based therapies. Guided by our core values—Compassion, E ...

+ Conduct utilization reviews for Residential, Partial Hospitalization and Intensive Outpatient eating disorder programs. · + Serve as clinical escalation point for complex cases requiring advanced interpretation of behavioral health guidelines. · Complete concurrent reviews and ...

This is an on-site position for a Utilization Review Specialist at United Billing Solutions in Palm Springs. The role involves utilization management for behavioral health companies. · Complete assessments and pre-certifications · Complete utilization, discharge and peer reviews ...

Kforce has a client in North Palm Beach, FL that is seeking a Contract Review Specialist. · ...

Job Title: · Contract Review Specialist #994426 · Duration: · 4-Month Contract · Location: · Juno Beach FL 33408 · Pay Range:- $ · 26 -$27/hr. · Job Description: · Summary · : · This role is focused on reviewing contracts, organizing them properly, and entering key information in ...

Job Title: Contract Review Specialist #994426 · Duration: 4-Month Contract · Location: Juno Beach FL 33408 · Pay Range:- $26 -$27/hr. · Job Description: · Summary: · This role is focused on reviewing contracts, organizing them properly, and entering key information into a system. ...

Praesum Healthcare provides administrative services for healthcare providers in key geographical locations throughout the Northeast. · ...

We are seeking a Contract Review Specialist to support our organization by reviewing existing agreements, extracting and classifying key contract metadata, and ensuring accurate electronic filing within the company's document retention and contract repository systems. · The Contr ...

We are seeking a highly skilled Utilization Management Specialist to join our team in delivering exceptional service to help clients manage their revenue cycle efficiently ensuring streamlined operations and enhanced patient care. · Manage caseloads through the insurance process ...

The Contract Review Specialist supports the organization by reviewing existing agreements. · Read and interpret existing contracts. · Classify contracts in the internal database according to established taxonomy. · ...

We are seeking a highly skilled Utilization Management Specialist to join our team. In this role, you will review medical records to assess the necessity and appropriateness of healthcare services. You will collaborate with healthcare providers and insurance payers, evaluate clin ...

Takahami Billing is searching for a UR Specialist who is empathic and compassionate. · Must be very organized and an incredible multi-tasker. · ...

We are seeking an experienced specialist who is passionate about making a difference in the lives of individuals battling behavioral health and substance use disorder challenges. · ...

We are seeking an experienced specialist who is passionate about making a difference in the lives of individuals battling behavioral health and substance use disorder challenges. · ...

We invite you to join us in our mission as a Utilization Review Specialist. · Manage and perform processes for medical records requests. · Review medical records for any quality issues before submission. · ...

The Utilization Review Associate performs a variety of functions. · Learn and assist in efficiently managing the admission to discharge process for clients at assigned facilities. · ...

Position: Credit Admin Review Specialist · Responsibilities · Review customer credit applications · Work with finance companies to process approvals · Communicate with customers when additional info is needed · Keep records organized and accurate · Assist with basic administrativ ...

Taft is seeking an Information Management Specialist/Records Specialist to support our Information Governance team in Taft's West Palm Beach office. · Support the IG Operations Manager in implementing Taft's IM standards and processes in assigned office(s) · ...

· Manage customer-related documentation including Certificates of Analysis CoA Formula Product Specifications and Letters of Guarantee. · ...