Medical Review Specialist

Job SummaryWe are seeking a skilled Clinical Utilization Review Specialist to join our team at Lexington Medical Center. As a key member of our Utilization Management Department, you will play a critical role in ensuring the quality and efficiency of our patient care services.Key ResponsibilitiesPerform admission and concurrent stay medical record reviews to...

About UsCapitol Bridge, LLC is a subsidiary of Capitol Bridge and its affiliated companies. Our mission is to deliver consistent quality outcomes and solutions for our customers by utilizing sound processes and a stringent quality assurance program.Job OverviewThe Medical Reviewer will be responsible for the retrospective review of Medicare denials for Part...

Job DescriptionJob DescriptionDescriptionThe Clinical Review Specialist is responsible for proper clinical review and interpretation of medical records and claim documentation to assist with the appeals of denied insurance claims. Responsibilities include drafting appeal letters based on clinical judgment and knowledge. This is a remote position with the...

STGi is seeking a skilled physician to perform medical review work and provide consultation and guidance to the Department of Labor (DOL) for workers' compensation cases. This is a remote opportunity that requires the use of a web-based DOL health IT system. The ideal candidate will have a strong understanding of federal safety and health regulations and...

The Clinical Review Specialist will be responsible for conducting thorough clinical reviews and interpretations of medical records and claim documentation to support the appeals of denied insurance claims.Key Responsibilities:Drafting appeal letters based on clinical judgment and knowledgeExamine and interpret medical records and claim documentation to...

Job DescriptionRoss Professional Services, LLC (RPS) is a leading provider of professional support and operations to the District of Columbia and Federal government nationwide. We are seeking a highly skilled Soil and Groundwater Review Specialist to join our team.The ideal candidate will possess a Bachelor's Degree or higher in Engineering, Geology, or a...

Job Summary:Williams Lea is seeking a skilled Document Review Specialist to join our team in Wheeling, WV. As a key member of our document production team, you will be responsible for reviewing and preparing documents to support our clients' brands and track progress.Key Responsibilities:Create and edit legal documents to client specifications using...

Job DescriptionJob DescriptionMedical Receptionist - Patient Care CoordinatorWashington, DCMUST:Experienced Patient Care Coordinator3 plus years of a experience as a Patient Care CoordinatorMust an Associates degreeMust have experience working on EMR, knowledge of Centricity is highly preferredMust have prior authorization experienceMust have scheduling...

Consilio LLC is a leading provider of eDiscovery and document review services to law firms and corporations involved in complex investigations, litigations, and transactions. We are seeking a skilled Document Review Specialist to join our litigation support team on a remote basis.Job Summary:The Document Review Specialist will be responsible for reviewing...

We are seeking a highly skilled Medical Billing and Collections Specialist to join our team at Globus Medical.As a Medical Billing and Collections Specialist, you will play a critical role in ensuring the accuracy and efficiency of our billing and collections processes.Key responsibilities include:Activating and billing patients within our billing...

Job Title: Program Analyst - Sensitive Review SpecialistEDC Consulting LLC is seeking a highly skilled Program Analyst to conduct sensitive, high-profile reviews of various programs and personnel. As a key member of our team, you will play a crucial role in promoting excellence, integrity, and accountability, enhancing program effectiveness, and preventing...

Job SummaryBracco Medical Technologies is seeking a highly skilled Merit Review Officer PCORI to join our team. The successful candidate will be responsible for coordinating the planning, implementation, and evaluation of high-quality, fair, and objective multi-stakeholder reviews.Key ResponsibilitiesCoordinate the planning, implementation, and evaluation of...

General Job Information The Child and Family Services Agency (CFSA) is a cabinet-level agency within the District of Columbia government, committed to the safety, permanence, and well-being of children and families residing in the District of Columbia. Charged with protecting child victims and those at risk of abuse and neglect, CFSA fosters...

Great Hill Solutions is part of the Seneca Nation Group (SNG) portfolio of companies. SNG is the federal government contracting business wholly owned by the Seneca Nation. SNG meets mission-critical needs of federal civilian, defense, and intelligence community customers across a variety of domains. The SNG portfolio receives shared services support from its...

Job SummaryDispatchHealth Management is seeking a skilled Medical Imaging Specialist to join our team. As a Medical Imaging Specialist, you will be responsible for performing echocardiography studies for patients in various service locations.Key ResponsibilitiesPerform echocardiography studies for patients in various service locationsFollow company policies,...

Job OverviewWe are seeking a skilled Medical Specialist to join our team in West Valley City, UT. As a Locum Physician, you will be working in a dynamic environment with a variety of responsibilities.Estimated Salary: $250,000 - $300,000 per year, depending on experience and qualifications.Company OverviewAdelphi Medical Staffing is a leading provider of...

About the RoleAs a Medical Support Specialist at BioLife Plasma Services, you will play a vital role in ensuring the safety and well-being of our donors. Your primary responsibility will be to determine donor eligibility, manage donor adverse events, and review laboratory test results. You will also be responsible for notifying donors of unsuitable test...

About Maury Regional HealthMaury Regional Health is the largest health system between Nashville and Huntsville, employing over 2,800 professionals and collaborating with more than 200 physicians across various medical facilities in southern Middle Tennessee.Job SummaryWe are seeking a skilled Medical Coding and Documentation Specialist to join our team at...

Job SummaryAs a Utilization Review Nurse at Medstar, you will play a crucial role in ensuring high-quality patient care while maintaining efficiency. Your primary responsibility will be to conduct admission, concurrent, and retrospective case reviews to verify the appropriateness of patient care and level of treatment. You will collaborate with medical staff...

Conducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.\r Education Associate's degree in Nursing required Bachelor's...