Medical Utilization Review Specialist - Warwick

Job Details · Description · As a UM Specialist, you'll be at the center of medical review decisions—helping balance clinical appropriateness, regulatory standards, and excellent customer service. Your work will have a direct and meaningful impact on medical outcomes and day-to-da ...

Primary Function · The Clinical Pharmacist is responsible for providing optimal pharmaceutical care on a daily basis. Develops, implements, and maintains systems that promote desirable patient outcomes through the use of safe and cost effective drug therapies. · Major Duties And ...

The Funding and Post Closing Specialist is responsible for funding, disbursement, post-closing and recording activities for assigned closing transactions. This role ensures the accurate receipt, tracking, · and release of funds. · Balancing closing file ledgers · Tracking incomin ...

This position requires highly responsible technical analytical evaluative and liaison work for the planning and development of human service programs policies and systems on a statewide basis. · ...

This onsite position offers you the chance to play a pivotal role in streamlining our contract processes. · ...

Washington Trust has an exciting opportunity for bilingual Loan Origination Specialist to join the Retail Mortgage Lending division. · The position requires fluency in Spanish and English languages and high school diploma or GED with two years of relevant administrative support ...

Northeast Family Services (NFS), a premier mental health provider with more than 20 years of experience serving children, youth, and families seeks a passionate and imaginative Social Media Specialist. The role will involve crafting content that not only engages but also connects ...

The Third Party Specialist facilitates all phases of the billing process under the direction of the A/R Supervisor. · Following up on current, past due accounts and secondary balances with third party payers, · Review bill for accuracy of charges, · Responsible for submitting pap ...

The Accounts Payable Specialist reports to the Treasury Manager and is responsible for overseeing full cycle accounts payable related to both the corporate company and properties.This position involves ensuring our high volume of invoices are processed in an organized and timely ...

Discover a Career That Empowers You — Join HUB International · At HUB International, we're more than just an insurance brokerage firm — we're a thriving community of entrepreneurs driven by purpose and passion. Every day, we help individuals, families, and businesses protect what ...

Job Summary · The Care Transition Specialist plays a pivotal role in supporting patients through transitions of care by facilitating timely follow-up with primary care providers and conducting non-licensed medication reconciliation. This hybrid position leverages the expertise of ...

Job Summary · Responsible for complete and accurate charge capture through review of medical record documentation of clinical services and procedures to ensure data integrity. Performs charge reconciliation activity to ensure optimal charge capture in accordance with Medicare, Me ...

Primary Function: · The Clinical Pharmacist is responsible for providing optimal pharmaceutical care on a daily basis. Develops, implements, and maintains systems that promote desirable patient outcomes through the use of safe and cost effective drug therapies. · Major Duties and ...

We are hiring a Site Coordinator to join our team at Highbar Physical Therapy. As a Site Coordinator, you will be responsible for administrative tasks, overseeing daily activities and authorizations within the clinic or region, and communicating closely with the Clinic Director. ...

We are seeking a detail-oriented Funding and Post Closing Specialist to support our closing teams and ensure accurate funding processes. · ...

Job Summary · The Financial Clearance Specialist plays a crucial role in ensuring the financial stability of the organization by managing the authorization processes for surgical procedures and patient admissions. This position is responsible for submitting Notices of Admissions ...

The Site Coordinator enjoys working in a collaborative team structure and thrives wearing multiple hats. This position will provide administrative training, oversee the day to day activities and authorizations within their clinic or region, and communicate closely with the Clinic ...

+The Financial Clearance Specialist plays a crucial role in ensuring the financial stability of the organization by managing the authorization processes for surgical procedures and patient admissions. · + · Evaluate payer polices to understand authorization and notice of admissio ...

This position assists with all aspects of payroll processing operations. Includes acting as the primary contact for staff payroll questions and issues, processing and accounting of bi-weekly and monthly payrolls. · Under the general direction of the Payroll Manager. · RIMI offer ...

Kforce is seeking an AP Specialist to process and code invoices across multiple projects. · ...