Remote ABA Utilization Review Specialist (UR)
Spectrum Billing Solutions
Spectrum Billing Solutions is seeking an ABA Utilization Review (UR) Specialist to join their team. This fully remote or hybrid position involves reviewing clinical information and obtaining authorizations for ABA services. Candidates should have 3-5 years of relevant experience and strong communication skills. The role offers a supportive team environment and competitive salary, along with benefits including healthcare and 401K. Join us to contribute to optimizing healthcare provider revenue cycles in a rewarding setting. #J-18808-Ljbffr
- ...ABA Utilization Review Specialist Spectrum Billing Solutions offers industry-leading revenue cycle management... ...to add an ABA Utilization Review (UR) Specialist to our growing team. The... ...rewarding environment. This is a fully remote or office/home hybrid position....Remote workWork at officeFlexible hours
- ...Healthcare Utilization Review Specialist Join our team at Company and build a meaningful career in employee benefits solutions. As a Healthcare... ...operations of the Utilization Review department by assisting senior UR team members with case review activities. Conduct...Remote workFull timeTemporary workSummer workFlexible hours
- ...of assigned tasks related to preadmission reviews, continued stay reviews, medical... ...services, in the least restrictive environment, utilizing proven clinical interventions will lead to... ...Identified as important to support billing and/or UR process. Screens all intake...Remote workWork at office
- CorVel Corporation is seeking an UR Intake Specialist to provide staff support such as typing reports, handling files... ...answering incoming calls and supporting the Utilization Review/Case Management department. This remote role requires strong communication, multitasking...Remote jobWork at office
- FHE Health is seeking a Utilization Review Specialist to manage clinical authorization processes and coordinate with insurance payers for timely authorizations... ...and compliance. The candidate should have 2-3 years of UR experience in behavioral health, with strong ASAM criteria...Remote job
$16.74 - $26.92 per hour
...Job Description Job Description The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence... ...an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost... ...RN license (compact allowed), 1 year UR/UM or Case Management experience, and... ...collaboration with physicians and care teams. Remote work is available after training. #J...Remote job
- A leading medical review organization is seeking Board-Certified physicians in Gastroenterology for a flexible remote opportunity. This role requires conducting independent Utilization Reviews for just 1-2 hours per week, with no minimum commitment. Candidates must have...Remote workFlexible hours
- ...To support effective utilization management, the part-time Senior Utilization Review Specialist will conduct concurrent and retrospective reviews of hospital services,... ...while collaborating with clinical teams in a fully remote capacity. Key Responsibilities Perform...Remote workPart time
- ...Utilization Review Specialist Remote, United States About the Role The purpose of this position is to ensure that the utilization process is thorough, organized and streamlined to provide the best possible length of stays for our patients. Given the complex nature...Remote work
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ...along with experience in Epic EHR and Utilization Review. The selected candidate will perform... ...program metrics. This position is remote and offers a pay range of $30-$45 per...Remote workHourly payContract work$80 per hour
...healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity criteria, payer authorization... ...healthcare operations.This role supports current and upcoming remote consulting opportunities focused on AI-assisted prior...Remote workHourly payPart timeFor contractorsWork at officeFlexible hours- Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and... .... After a 90-day in-office training, the position offers remote work from home options. #J-18808-Ljbffr Nationwide-ChildrenRemote jobWork at officeWork from home
- ...to help improve the health of individuals and the quality of life in our community. New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up on patient accounts when authorization for stay is required, initiate pre-...Remote workLocal area
- Major Hospital in the United States is seeking a skilled utilization review professional to review medical records for necessity and appropriateness of care. You will collaborate with providers, staff, insurers, and case managers to ensure patients receive the right level...Remote jobReliefWeekend workAfternoon shift
- ...HealthHelp is seeking a remote Utilization Review clinician (RN/LPN/LVN) to support medical necessity determinations across client programs. You will review cases, coordinate with providers, and ensure timely decisions in line with policy and regulatory requirements. Ideal...Remote workWork at office
- ...Looking For We are seeking an experienced specialist who is passionate about making a... ...according to payer guidelines. The UR Specialist helps maximize reimbursement... ...field required preferred. ~2-3 years of utilization review experience in behavioral health,...Remote jobDaily paidFull time
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...Remote job
- Ascension Sacred Heart Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment with reimbursement policies. Join a multidisciplinary...Remote job
$29.62 - $45.31 per hour
...Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department... ...requests, customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote workContract workWork from home
$26 - $33 per hour
...-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated... ...reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy of admission...Hourly payFull timeTemporary workPart time$55k - $65k
...Range: $55,000.00 To $65,000.00 Annually POSITION SUMMARY: The Utilization Review Coordinator is responsible for communicating substance abuse... ...assigned. ESSENTIAL KNOWLEDGE, SKILLS, AND ABILITIES: Knowledge: The UR Coordinator will: Possessproficiencyin Excel,Wordand...Full timeFor contractors- ...What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients...Work at officeLocal area
$26 - $33 per hour
...being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated... ...reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy of admission...Hourly payFull timeTemporary workPart time- ...Utilization Review SpecialistAbout View Behavioral HealthWe are proud to serve as a trusted resource for our community, providing high-quality... ...ensuring patients meet the appropriate level-of-care criteria. The UR team works closely with providers, case management, and the...Local areaWeekend work
$62k - $70k
...of this position is to ensure that the utilization process is thorough, organized and streamlined... ...timely manner Completes peer to peer reviews with insurance MDs to advocate for... ...Charlie Health-sponsored benefits. #LI-REMOTE Please note that this role is not available...Remote workFull timeLocal area$16.74 - $26.92 per hour
...of a partner company, who manages all applications and next steps. Our partner is looking for a Utilization Review Intake Specialist based in United States. This remote role provides essential administrative and intake support within a utilization review and case management...Remote jobHourly payFull timeWork at officeFlexible hours- Centene Corp. seeks a healthcare professional to review ABA services for medical appropriateness and monitor clinical effectiveness in... ...authorization reviews, data analysis to improve BH service utilization, and collaboration with BH providers. Excellent communication...Remote job
- We are looking for a detailed-oriented Utilization Review (UR) Specialist to help us maximize patient care quality and ensure seamless insurance operations. The UR Specialist evaluates patient medical records to ensure treatments meet clinical necessity and regulatory...Temporary workMonday to Friday
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