Clinical Review Specialist - Novi

The Clinical Review Specialist plays a critical part in ensuring accurate clinical documentation, · compliance with regulatory standards, · and optimized reimbursement processes.Review · & evaluate clinical documentation for accuracy, · & completeness, · & compliance with regulat ...

+ Clinical Review Specialist · Job summary · The Clinical Review Specialist is responsible for reviewing clinical documentation to ensure accuracy, completeness, and compliance with regulatory and payer requirements. · + Qualifications Experience with clinical documentation revi ...

We are seeking a detail-oriented Disability Review Specialist to manage the full lifecycle of disability review service requests. · The ideal candidate is an excellent communicator with strong grammar and exceptional organizational skills, · and the ability to manage multiple dea ...

The Healthcare Review Specialist is responsible for the lifecycle of healthcare claims; including but not limited to receiving the initial request and reviewing the case for service type and conflict of interest. · ...

River's Bend is seeking a Utilization Review and Quality Specialist to join our growing team of innovative professionals at our West Bloomfield, Michigan location. · 401(k) and Employer Match · Health, Dental, and Vision Insurance · Professional liability/Malpractice insurance pa ...

The incumbent reviews medical bills utilizing professional knowledge and clinical experience to determine relationship of services billed to the covered injury; applies appropriate review guidelines, assesses appropriate use of medical coding; identifies over-utilization of treat ...

+Job summary · The incumbent reviews medical bills utilizing professional knowledge and clinical experience to determine relationship of services billed to the covered injury; applies appropriate review guidelines, assesses appropriate use of medical coding; identifies over-utili ...

+The incumbent reviews medical bills utilizing professional knowledge and clinical experience to determine relationship of services billed to the covered injury; applies appropriate review guidelines, assesses appropriate use of medical coding; identifies over-utilization of trea ...

We seek an experienced Utilization Review & Billing Specialist for our Substance Use Disorder behavioral health program. · The ideal candidate has strong background in behavioral health utilization review, understands medical necessity criteria, and is confident managing commerci ...

The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. · ...

The support specialist is a crucial role in the centralized Utilization Review team for time-sensitive authorization tracking and resolution process. · ...

The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. · ...

The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process.Obtaining and tracking approvals, denials,and additional information requests received from third party payers within EMR. ...

We are seeking a Billing Specialist to support client invoicing. · VantagePoint accounting software is used. · ...

We are seeking a Billing Specialist to support client invoicing. · Preparing client invoicesReviewing time and expenses for accuracySubmitting invoices via client portals or emailResolving billing questions or revisions ...

We're looking for a Corporate Payroll Specialist to join our team. · The ideal candidate will be looking for:A company guided by core values which starts with Value Employees. · Great pay and benefits. · A deep culture founded on teamwork, respect, integrity. · ...

+The Accounting Specialist will ensure invoices get paid by keeping accurate records of uncollected debts. · +Work with accounts payable, accounts receivable, and payroll. · Process incoming payments by check, credit card, and EFT. · ...

We are hiring an on-site Construction Safety Specialist for a key client in Grand Rapids, MI. The construction safety specialist will have broad knowledge of safety compliance programs and where required safety specialty areas.This is a part-time (20 hours per week), fixed-term p ...

The Sales Account Manager works closely with Solution Architects and Sales Operations Specialists to deliver accurate proposals, pricing, and customer communications that reflect Knight Watch's commitment to exceptional service. · Manage an assigned portfolio of small-to-medium c ...

Pioneer the next generation of innovation. Join us and you'll develop your skills and expertise to the very highest levels, working in an international environment for a company known the world over for its brilliance. · ...