Medical Review Specialist - Barberton, OH

The Medical Review Specialist is responsible for reviewing, analyzing, and interpreting medical documentation to support eligibility determinations and alternative treatment evaluations in alignment with Christian Healthcare Ministries' guidelines and values. This role exists to ...

We are seeking Virtual Utilization Review Specialists who are interested in compressed weekend schedules. · ...

Job summaryThis position pays RN pay scale $35.85/hr based on experience and LPN pay scale $26.35/hr based on experience. · Utilizes proactive triggers (diagnoses, cost criteria, and complications) to identify potential over/under utilization of services · Initiates appropriate r ...

We believe that investing in our employees is the first step to providing excellent patient care. As a Behavioral Health Technician (BHT) joining our team, you're embracing a vital mission dedicated to making communities healthier. · ...

Description · Job Title: Utilization Review Specialist · Location: Highland Springs in Highland Hills, OH · Schedule: Full Time, Day Shift · Your experience matters · At Highland Springs, we are driven by a profound commitment to prioritize your well-being so you can provide exce ...

Main Sail LLC is seeking an experienced AutoTime Functional Specialist to support the validation, remediation and stabilization of AutoTime integrations within an SAP shop floor manufacturing environment. · Review, validate and remediate SAP-AutoTime interfaces · Validate compati ...

The Authorization Specialist is a pivotal role within CHM.This role ensures accurate processing of medical bills in alignment with CHM Guidelines while also supporting Medical Review Specialists through complex and challenging cases. · ...

The Authorization Specialist exists to support Christian Healthcare Ministries by accurately reviewing and authorizing member medical bills, needs, and incidents in alignment with CHM Guidelines. This role plays a critical part in ensuring members receive timely, consistent, and ...

This role is ideal for someone who enjoys helping others, thrives in a policy-driven environment, and can confidently communicate complex information with clarity and care. · ...

We are looking for a skilled Residential Design Specialist to join a growing home renovation and interior design team in Barberton, OH. This role focuses on delivering customized design solutions for kitchens, bathrooms, and full-home remodeling projects across Barberton, OH. The ...

The Cancer Care Solution Specialist serves as the primary support and coordination point for members diagnosed with cancer. · ...

This role plays a key part in ensuring maternity care bills are processed accurately. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, · compassion, · and integrity.Compile verify organize information according to priorities · Ch ...

We provide industry-leading, end-to-end fire protection, mechanical, and HVAC services. Our skilled tradespeople work in virtually every market across the nation. · Job Summary · The primary function of this role is to find new customers who may need our inspection services. This ...

+TEKsystems is looking to hire a New Loan Set-up Specialist to assist one of the largest, rapidly growing banks in the nation. · + · +Receives, reconciles, maintains and/or summarizes multiple sources of records, files or documents. · ...

The Complete Surgical Care Solution Specialist supports CHM's cost-containment and member advocacy efforts by proactively guiding members through bundled surgical care options. · ...

The Authorization Specialist is a pivotal role within CHM solely responsible for the detailed authorization of medical bills ensuring accurate processing in alignment with CHM Guidelines. · ...

As Process Safety Management Specialist, drive ownership of facility process safety metrics to meet established goals. · Drive ownership of facility process safety metrics · Provide leadership on process safety issues · ...

We are seeking a detail-oriented Authorization Support Specialist to join our team. · ...

The Complete Surgical Care Solution Specialist supports CHM's cost-containment and member advocacy efforts by proactively guiding members through bundled surgical care options. · ...

About Us: · We provide industry-leading, end-to-end fire protection, mechanical, and HVAC services. Our skilled tradespeople work in virtually every market across the nation. · Job Summary: · The primary function of this role is to find new customers who may need our inspection s ...