Utilization Review Specialist

Job Title: Clinical Utilization SpecialistCompany: Vidant HealthAbout Vidant HealthVidant Health is a leading healthcare provider in eastern North Carolina, dedicated to delivering high-quality patient care and advancing medical education and research.Job SummaryThe Clinical Utilization Specialist will play a critical role in ensuring regulatory compliance...

OverviewKCI Technologies, Inc. is seeking a highly skilled Utility Coordinator to join our team. As a Utility Coordinator, you will play a critical role in ensuring the successful execution of utility coordination on various transportation and other projects.ResponsibilitiesObtain utility contact and facility owner informationEvaluate and provide...

About the RoleVidant Health is seeking a skilled Clinical Denials Specialist to join our team. As a key member of our appeals team, you will be responsible for reviewing denied claims and ensuring timely and accurate appeals to maximize reimbursement and minimize recoupment.Key ResponsibilitiesReview medical records to determine whether each case should be...

Job OverviewWe are seeking an experienced Piping & Utilities Engineer to join our team at Stealth Recruiting Services. This key role requires expertise with industrial process piping systems, to include studies, calculations, stress analysis, equipment specs, and subcontractor bid reviews.ResponsibilitiesPrepare and manage design packages for industrial...

Job Title: Damage Prevention SpecialistHeath Consultants Incorporated is seeking a highly skilled and motivated Damage Prevention Specialist to join our team. As a Damage Prevention Specialist, you will play a critical role in protecting life and property by detecting and properly marking underground utilities.Responsibilities:Locate underground utilities...

Job Title: RCM AR SpecialistCrossroads Treatment Centers is an equal opportunity employer, committed to creating an inclusive environment for all employees. We are seeking a skilled RCM AR Specialist to join our team.Job Summary:The RCM AR Specialist will be responsible for resolving new and aged accounts receivables, utilizing industry knowledge to analyze...

Job SummaryWe are seeking a skilled Coding Specialist III to join our team at Vidant Health. As a key member of our coding team, you will be responsible for reviewing medical records, extracting data, and applying appropriate diagnosis and procedure codes for complex outpatient hospital, ambulatory surgery, intermediate level of inpatient accounts, and...

Disputes SpecialistIN CONNECTION WITH DebtLink is seeking a detail-oriented professional to manage incoming and ongoing disputes following set procedures.Key ResponsibilitiesManage and document account activities thoroughly and concisely.Utilize judgment in decision making and responses.Monitor and respond to disputes inbox emails within expected...

About the RoleWe are seeking a highly skilled and detail-oriented individual to join our team as a Surgical Operations Specialist. In this role, you will play a critical part in ensuring the smooth operation of our surgical services, working closely with surgeons, staff, and other stakeholders to optimize quality and resource utilization.Key...

Job Title: Mechanical Engineer - HVAC Design SpecialistAbout Us:Jedson Engineering is a leading engineering consultancy headquartered in Cincinnati, OH. We provide full-service engineering, procurement, and construction management (EPCm) services to industrial process manufacturers across the nation.Job Summary:We are seeking a highly skilled Mechanical...

Job Title: Valuations Specialist IIAt Shellpoint Mortgage Servicing, we are seeking a highly skilled Valuations Specialist II to join our team. As a key member of our Default Support department, you will play a critical role in ensuring the accuracy and completeness of valuation reports.Key Responsibilities:Initiate valuation orders through established...

{"title": "Surgical Operations Specialist", "content": "Job SummaryAs a Surgical Operations Specialist at Bon Secours Mercy Health, you will play a critical role in ensuring the efficient and effective delivery of surgical services. Your primary responsibility will be to assist in the development, implementation, and communication of sustained quality and...

Clinical Nurse Specialist - Cancer CareThe Clinical Nurse Specialist (CNS) is a master's and/or doctorally prepared advanced practice registered nurse who is nationally board certified in an area of clinical expertise or specific patient population.This role functions as a leader, innovator, and change agent, striving to meet the needs of patients, families,...

Job SummaryWe are seeking a highly skilled Data Quality Specialist to join our team at Vidant Health. As a Data Quality Specialist, you will be responsible for performing data quality reviews on outpatient and inpatient encounters to facilitate clean claim submissions. You will use independent judgment, coding and governmental guidelines to optimize...

Job Title:Configuration Management SpecialistJob Description:A Configuration Management Specialist provides configuration and data management support to their assigned program(s).The Configuration Management Specialist will be responsible for planning, managing, and reporting on the documentation created to fulfill customer configuration and data...

Job OpportunityWe are seeking an experienced Piping Engineer to join our team at O'Neal, Inc. in Greenville, SC.Key ResponsibilitiesPrepare and manage design packages for industrial manufacturing clients.Develop expertise in industrial process piping systems, including studies, calculations, stress analysis, equipment specs, and subcontractor bid...

Job Title: Civil Design SpecialistAt Fluor, we are committed to delivering exceptional services that meet the highest standards of quality and technical competence. As a Civil Design Specialist, you will play a critical role in promoting our competitiveness within the global marketplace.Key Responsibilities:Prepare 3D layouts and schematics for conceptual...

Job Title: Civil Design SpecialistAt Fluor, we are committed to delivering exceptional services that meet the highest standards of quality and technical competence. As a Civil Design Specialist, you will play a critical role in promoting our competitiveness within the global marketplace.Key Responsibilities:Prepare 3D layouts and schematics for conceptual...

Job Title: Disputes Resolution SpecialistWe are seeking a highly skilled Disputes Resolution Specialist to join our team at IN CONNECTION WITH DebtLink. As a Disputes Resolution Specialist, you will be responsible for managing incoming and ongoing disputes, documenting account activities thoroughly, and utilizing judgment in decision making and responses.Key...

Job Title: Paralegal SpecialistAbout the Job:The Paralegal Specialist provides legal and administrative support in areas like family law, international law, contract law, defense legal services, and judicial legal services. This role requires the ability to supervise those in a command, provide technical guidance to subordinates, maintain law/administrative...