Utilization Review Specialist
Trilogy Health Services
Trilogy Health Services, LLC is seeking a Payer Services Specialist based in Louisville, Kentucky. The role focuses on prior authorizations, recertifications, and insurance verifications to support admissions and therapy services. The specialist will verify benefits, assist with denials, and ensure timely authorizations while minimizing bad debt in a senior living environment. Competitive benefits and weekly pay are offered. #J-18808-Ljbffr
$44 - $46.8 per hour
...Inpatient and Outpatient Coding Quality Review Educators . This is a fully remote position... ...in line with OU Health standards. Utilize expertise in same day surgery and CPT... ...Alerts Get notified about new Coding Specialist jobs in Oklahoma, United States. #J-18...SuggestedContract workRemote workFlexible hours$20 per hour
...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...assigned store/multiple stores. They utilize tools to minimize loss to the Company, including... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...SuggestedLocal area$50k
...and their access to therapy. The Benefits Specialist works in a dynamic and compassionate... ...regulation or guidance. Patient Assistance: Review of patient assistance enrollment forms... ...assist inbound callers through resolution utilizing answers to frequently asked questions or...SuggestedTemporary workWork at officeImmediate start$54k - $60k
...dedicated and proactive Behavior Intervention Specialists (BIS) to support our In-Home Direct... ...outcomes identified in the Life Plan utilizing evidence-based strategies in accordance... ...laws. For further information, please review the Know Your Rights notice from the Department...SuggestedFull timeTemporary workWork experience placementWork at officeImmediate startFlexible hoursWeekend workAfternoon shift$19.5 per hour
...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...assigned store/multiple stores. They utilize tools to minimize loss to the Company, including... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...SuggestedLocal area- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...their assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring...
- ...Job Summary: Conduct reviews of physician documentation to identify opportunity for clinical documentation improvement. Demonstrate... ...documentation requirements Facilitates clinical documentation Competent utilization of EPIC, 3M Encompass/CDIS, Midas Identify opportunities for...Zero hours contractReliefFlexible hoursShift workDay shift
- ...water, wastewater, and public works services to municipalities, utility districts, and industries. We are dedicated to supporting our... ...completion of background screening, drug testing, and driving record review where applicable. Inframark is an Equal Opportunity Employer....Work at officeAll shiftsAfternoon shift
$23.1 per hour
...We are currently seeking a Health Care Specialist (HCS) to work full-time at our Bay Ridge... ...direct care staff . Conducts timely reviews of anecdotals and presents questions to... ...Basic computer skills – including email, utilizing Workday and related systems (DA, etc.) to...Full time- ...Coding Specialist I The Coding Specialist I is responsible for independently reviewing, analyzing, and resolving all assigned front-end claims to ensure accurate and timely... ...national medical necessity guidelines. Utilizes internal coding resources, payer guidelines,...Hourly payWork at officeLocal area
- ...to advance your career. Visit or follow MMS on LinkedIn. This role is a project-based consulting opportunity to conduct medical reviewing on an as-needed basis. This is not a full-time position. Roles & Responsibilities Provide medical expertise on development-related...Full timeLocal areaRemote work
$29.7 - $31.8 per hour
...Job Description The Acute Coding Appeals Specialist integrates medical coding principles and... ...Appeals Specialist is responsible for reviewing and writing appeals for inpatient Diagnosis... ...to address the clinical documentation utilized in the decision-making process to support...Temporary workWork at officeLocal areaRemote work$28.28 - $37.5 per hour
...efficiency and innovation. As a Trade Lifecycle Specialist IV within JPMorganChase, you will play a... ...operations across all asset classes. Utilize various systems and tools to reconcile... ...in a timely manner. Contribute to the review and improvement of end-to-end processes,...Work at office- ...Licensed Audiologist / Hearing Instrument Specialist Position: Licensed Audiologist / Hearing Instrument... ...Provide diagnostic impressions and reports Review patient history and recommend appropriate care Utilize systems such as Sycle and MedRx Qualifications...Full timeMonday to Friday
$23.48 - $24.54 per hour
...resourceful and empathetic full-time Referral Specialist for our Jackson Heights location who will maintain, track, assemble and review patients’ documentation on referrals to... ...the referral with patients. Identify and utilize cultural and community resources. Establish...Hourly payFull timeFlexible hours- ...IT is deployed. Job Overview The Technical Project Specialist L1 is a critical role on our Design, Engineering and... ...security SMAC. Evaluate project status and resource utilization; implement changes as needed; review status reports prepared by project personnel and...Temporary workWork at officeLocal areaWorldwide
- ...individuals with disabilities to perform the essential functions. This job description supersedes prior job descriptions. When duties and responsibilities change and develop the job description will be reviewed and subject to changes of business necessity. #J-18808-Ljbffr...Local area
- ...environment, BoeFly is the place for you. About the Funding Specialist Role: As a Funding Specialist at BoeFly, you will play a... ...industries. ~ Strong analytical skills with expertise in reviewing financial statements, cash flow analysis, and industry trends....
- ...operational metrics and assist with reporting on team performance and workload trends Support data collection and analysis for leadership reviews and planning discussions Maintain accurate project and operational records Qualifications Required Bachelor's degree in Marketing,...Contract workTemporary workFor contractorsWork at office
$30 - $32 per hour
...and conditions language to ensure proper construction of standby letters of credit, guarantees and documentary letters of credit. Reviewing transactions for regulatory compliance and anti‑boycott violations. Interacting with various parties of letter of credit transactions...Contract workWork at office- ...home improvement retailer in Jersey City is seeking an Asset Protection Specialist responsible for preventing financial loss due to theft and fraud. You will monitor the store's security, review CCTV footage, and interact with law enforcement. The ideal candidate will...
$30 - $40 per hour
...Education Specialist (Part-Time) Youth Development Center - After School Programs About Queens Community House (QCH) Queens Community... ...of Health Fingerprinting New York State Clearance Review Background Check Physical examination with updated TB test...Hourly payPart timeSummer workMonday to Friday10 hours per week- ...communications, growing the application and effectiveness of relevant channels via organic/paid posts. Own the organization’s response on review platforms, routinely monitoring channels and maintaining high response times. Deliver exceptional customer service online by way of...Seasonal workWork at officeFlexible hours
$21.43 per hour
...All Jobs Weekend Community Habilitation Specialist - Brooklyn Weekend Community Habilitation Specialist - Brooklyn Community Habilitation... ...techniques to ensure participant safety and well-being. Utilize on-call supervisory support to report or respond to emergency...Part timeTrial periodWeekend workAfternoon shift$80k
...Base Salary for this role is $80,000. Job Responsibilities Completes initial patient medical record review within 24‑48 hours of patient’s admission; completes subsequent reviews every 24‑48 hours and enters findings in CDE software. Assigns Principal diagnosis, complication...Temporary work- ...Berkel & Company Contractors, Inc. is looking for a Field Safety Specialist to work within our Kentucky Region. This position works with... ...safety and health regulations including NFPA and JCAHO standards Review all Site-Specific Safety Programs and Job Hazard Analysis prior...For contractorsWork experience placementFor subcontractorLocal area
$20.5 - $21.7 per hour
...Friday 8 am to 4 pm (40 hours) A Day In The Life Of An Employment Specialist As a full-time Employment Specialist, you will positively... ...interviews with others, observation of task-based activities, file reviews and other relevant means Identifies and recommends work...Hourly payFull timeWork at officeMonday to Friday- ...Housing Specialist Reporting to the Director of Social Services/Social Services Supervisor, the Housing Specialist provides assistance... ...housing related tasks including but not limited: # Reviews, completes, and makes recommendations, when necessary, on all...Permanent employmentLocal areaFlexible hoursAfternoon shift
$20 per hour
...IBS Site Parts Specialist- Trainee Unique NAPA opportunity A NAPA Parts Store where you'd least expect it NAPA is a Parts Store... ...for major airlines, government vehicle maintenance stations, utility companies, construction companies, car dealerships and more. NAPA...Hourly payTraineeshipImmediate startShift workAfternoon shift- ...EHS Specialist page is loaded## EHS Specialistlocations: United States, Middlefield (OH)time type: Voltijdsposted on: Gisteren geplaatstjob... ...Manufacturing – Protecting Our Planet for the Future*** We utilize renewable energy and a closed loop recycled water process.* We...Hourly payTemporary workFor contractorsWork at officeWorldwideFlexible hoursAfternoon shift
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