We have other current jobs related to this field that you can find below

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    5 days ago

    Metairie, United States Bryan Subaru Careers Full time

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  • Subaru Star Delivery Specialist

    2 weeks ago

    Metairie, United States Bryan Subaru Full time

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  • Billing Specialist

    3 months ago

    Metairie, United States Quipt Home Medical Full time

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  • Billing Specialist

    4 weeks ago

    Metairie, United States Quipt Home Medical Full time

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    1 week ago

    Metairie, United States Bryan Subaru Part time

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    1 month ago

    Metairie, United States Magnolia River International Full time

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    4 weeks ago

    Metairie, United States i3 Verticals Management Services, Inc. Full time

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    3 months ago

    Metairie, United States i3 Verticals Management Services, Inc. Full time

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    4 weeks ago

    Metairie, United States Bios Technologies Full time

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    2 weeks ago

    Metairie, United States Green Marine Full time

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  • Lead Generation Specialist

    1 month ago

    Metairie, United States Ivory Connections Full time

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  • Project Specialist

    3 months ago

    Metairie, United States Magnolia River Full time

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  • Financial Product Specialist

    7 days ago

    Metairie, United States Expert Seekers Training Full time

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    2 weeks ago

    Metairie, United States ICI New Orleans Full time

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    3 weeks ago

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    2 weeks ago

    Metairie, United States RESTECH INFORMATION SERVICES Full time

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  • Project Controls Specialist III

    2 months ago

    Metairie, United States Bernhard Full time

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  • Project Controls Specialist III

    2 months ago

    Metairie, United States Bernhard Full time

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Utilization Review Specialist

3 months ago

Metairie, United States GulfSouth Autism Center Full time

GulfSouth Autism Center provides individual treatment plans for children ranging in ages from toddler to preschool that are diagnosed with autism spectrum disorder. Our on-site BCBAs provide individual and group ABA Therapy and our Allied Health team focuses on Speech Therapy as well as Occupational Therapy. GulfSouth therapy is primarily 1:1 teaching children skills such as social interactions, language communication and social development.

The Utilization Review Specialist Oversees:

  • Oversee daily Operations and the work of GSAC administrative employees.
  • Maintains quality control among all GSAC administrative employees.
  • Is part of annual strategic planning.
  • Manages Autism Center Waitlists, timelines, and clinical operations.
  • Monitor client discharges and outcomes

Financial

  • Monitor billing vs income for Allied Health
  • Monitors billing vs income for all GSAC locations/providers.
  • Works closely with collections department and assists with billing and collections, when needed.
  • Oversight of Billing Compliance System.

Compliance

  • Assisting Operations Team with analyzing and updating existing compliance policies and related documentation.
  • Communicating compliance policies and guidelines to Management and designated departments.
  • Developing and executing new compliance policies and procedures as required.
  • Performing Daily internal auditing and compliance checks with our clinics using Catalyst System.
  • Developing and maintaining a compliance recordkeeping system.
  • Assisting with the training of employees on industry compliance requirements.
  • Keeping up with compliance requirements and amendments to regulations.

Requirements:

  • Bachelor's degree in business administration or accounting preferred
  • In-depth knowledge of industry compliance requirements and standards.
  • Experience with Microsoft Office
  • Exceptional ability to formulate compliance policies, procedures, and related documentation.
  • Advanced analytical abilities.
  • Effective research and professional networking skills.
  • Ability to effectively train employees.
  • Strong leadership and communication skills
  • Exceptional communication and interpersonal skills.