Financial Reporting and Review Specialist

+We are seeking a confident, detail-oriented Utilization Review Specialist to join our behavioral health team. · +Conduct utilization reviews and obtain prior authorizations from insurance companies · Monitor continued stay and discharge criteria for clients · ...

The Utilization Review Specialist monitors resource utilization under direct supervision for patients according to established guidelines. · Preadmission review on admissions when required by insurance companies/agencies. · Works with discharge planner monitoring medical necessit ...

Job Summary:Westborough Behavioral Healthcare Hospital is looking for a Utilization Review Specialist to provide Per Diem coverage. · ...

Job summary · The primary purpose of the Utilization Review Specialist is to create and manage the flow of revenue for each client through liaison with insurance companies. · QualificationsHigh School Graduate or equivalent. · Post high school training in the medical field, the i ...

Versiti is a fusion of donors, scientific curiosity and precision medicine that recognize the gifts of blood and life are precious. · We are home to the world-renowned Blood Research Institute, · we enable life saving gifts from our donors, · and provide the science behind the me ...

The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent proc ...

The Utilization Review Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program. · ...

The Grant Review Specialist is responsible for administrative and operational support of multiple concurrent grant review cycles. · ...

The Utilization Specialist is responsible for reviewing of assigned admissions, · continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent pr ...

The Utilization Specialist reviews assigned admissions for clinically valid criteria to obtain authorizations. · ResponsibilitiesPerforms admission reviews using established hospital criteria. · Communicates effectively with insurance companies. ...

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 · ...

We are looking to hire for this position immediately. · ...

The job involves reviewing electronic documents against guidelines and maintaining accurate records of document assessments. · Familiarity with documentation related to community development and regulation is a plus. · Strong communication skills and ability to work effectively i ...

Aerotek has an immediate opening for a Claims Review Specialist at the corporate office in Hanover MD Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager the Claims Review Specialist will assist in the monitoring and administeri ...

We are looking for an experienced Google Reviews Specialist for our growing home care agency to help us consistently generate real five-star Google reviews from actual clients and families. Our goal is to build strong local credibility improve search visibility increase trust wit ...

Seeking an experienced Google Reviews specialist to generate reviews. · Must understand review generation, encouragement, and management, · Provide a clear explanation of your process tools used and examples of past work.Transparency and real-world examples are essential. · ...

We are seeking a knowledgeable and detail-oriented Clinical Review Specialist to join our corporate team. This role plays a critical part in ensuring accurate clinical documentation, compliance with regulatory standards, and optimized reimbursement processes. · Experience with cl ...

The Transaction Review Specialist (TRS) will ensure every approved consumer transaction is correctly documented in the ecoATM database. · ...

The Promotional Review Specialist is responsible for managing the Advertising and Promotional Material Review/Approval Process (A&P Review Process) and will be a contributing member of the Communications & Brand Experience team. · ...

We are seeking an experienced Utilization Review (UR) Specialist to join our team at Mental Health Treatment Centers of America in Fort Lauderdale, FL. · Review Client admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. ...

Avenues Recovery Center es una red nacional de centros de rehabilitación con dieciocho ubicaciones en siete estados. Ofrecemos un tratamiento altamente individualizado en un entorno limpio, moderno y cómodo, abarcando todos los niveles de atención, incluyendo desintoxicación, res ...