Medical Review Specialist

{"Responsibilities": "As a Medical Reviewer with US Tech Solutions, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. You will document decisions using indicated protocol sets or clinical...

Job OverviewThe Healthcare Reception Specialist is responsible for providing exceptional customer service and support within a medical environment. This role involves assisting patients and ensuring a smooth operational flow in the office.Key Qualifications:Proven experience in a healthcare settingExcellent interpersonal and communication skillsAbility to...

Job Title: Medical Claims ReviewerExperis is seeking a skilled Medical Claims Reviewer to join our team. As a Medical Claims Reviewer, you will be responsible for conducting medical reviews using established criteria sets, performing utilization management of professional, inpatient or outpatient, facility benefits or services, and addressing appeals.Key...

Job Title: Medical Review NurseUS Tech Solutions is seeking a skilled Medical Review Nurse to join our team. As a Medical Review Nurse, you will play a critical role in ensuring the quality and accuracy of medical reviews and utilization management services.Responsibilities:Perform medical reviews using established criteria sets and/or perform utilization...

Medical Records Review SpecialistCarolina Legal Associates is seeking a detail-oriented Medical Records Review Specialist to join our team in Mt. Pleasant, SC. As a Medical Records Review Specialist, you will play a critical role in assisting our paralegals and attorneys by reviewing and compiling medical and pharmacy records required for specific cases.Key...

Job Summary:Quality Chemical Laboratories (QCL) is seeking highly motivated candidates for qualified analytical data reviewers, lab specialists, and chemists with experience in Mass Spec, LC, GC, QC compendial testing, Wet Chemistry, Microbiology, Sterility, Synthetic Chemistry, Pharmaceutical Formulation, Metrology, and Sample Log-In Associates.Key...

Position OverviewWe are seeking a Client Account Review Specialist to support our financial planning firm in delivering outstanding service to our clients. This role is crucial in ensuring the accuracy and integrity of client accounts.Key Responsibilities:Develop and enhance financial presentations utilizing Excel to convey essential information.Conduct...

Job Title: Medical Nurse SpecialistFusion Medical Staffing-Nursing is seeking a skilled Medical Nurse Specialist for a travel nursing opportunity in a dynamic healthcare setting.Job Summary:We are looking for a highly motivated and experienced Medical Nurse Specialist to join our team. As a Medical Nurse Specialist, you will be responsible for providing...

**Job Summary**Carolina Legal Associates is seeking a dedicated and detail-oriented Medical Records Specialist to support their team at a well-established law firm. The selected candidate will play a crucial role in reviewing and organizing essential medical and pharmacy records vital for specific cases.**Key Responsibilities:**Review medical and pharmacy...

Medical Billing Specialist **Job Summary:** We are seeking a highly skilled Medical Billing Specialist to join our team at Midlands Neurology and Pain Associates, P.A. The ideal candidate will be responsible for managing all aspects of billing, including accounts receivables, claims submission, and payment posting. **Responsibilities:** * Manage claim...

Job SummaryWe are seeking a highly skilled Medical Coding Specialist to join our team at the University of Missouri-Columbia. As a Medical Coding Specialist, you will play a critical role in ensuring the accuracy and compliance of medical records and coding systems.Key ResponsibilitiesReview and analyze complex clinical documentation to assign accurate codes...

Job Summary:Midlands Neurology and Pain Associates, P.A. is seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for managing all aspects of billing, including accounts receivables, claims submission, and payment posting.Key Responsibilities:Claim Denials Management: Identify and...

We are currently hiring for an Appeals Specialist (Medicare Part B) to join BlueCross BlueShield of South Carolina. In this role as Appeals Specialist (Medicare Part B), you will perform non-medical reviews and processes redetermination letters. **Key Responsibilities:**Conduct thorough reviews of medical claims to ensure accuracy and fairness.Process...

Job Summary:Midlands Neurology and Pain Associates, P.A. is seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for managing all aspects of billing, including accounts receivables, claims submission, and payment posting.Key Responsibilities:Manage claim denials from insurance...

Job Summary:Quality Chemical Laboratories (QCL) is seeking highly motivated candidates for qualified analytical data reviewers, lab specialists, and chemists with experience in Mass Spec, LC, GC, QC compendial testing, Wet Chemistry, Microbiology, Sterility, Synthetic Chemistry, Pharmaceutical Formulation, Metrology, and Sample Log-In Associates.Key...

We are seeking highly motivated candidates for qualified analytical data reviewers, LabWare LIMS development/configuration/validation, Document Control Associates, Computer System Validation and Data Integrity Specialists, Scientists (all levels) with experience in Mass Spec, LC, GC, QC compendial testing, Wet Chemistry, Microbiology, Sterility, Synthetic...

About the RoleWe are seeking a highly skilled Clinical Reviewer to join our team at US Tech Solutions, Inc. As a Clinical Reviewer, you will play a critical role in ensuring that our members receive the necessary healthcare services while maintaining the highest level of quality and cost-effectiveness.Key ResponsibilitiesConduct thorough reviews of medical...

We are seeking highly motivated candidates for qualified analytical data reviewers, LabWare LIMS development/configuration/validation, Document Control Associates, Computer System Validation and Data Integrity Specialists, Scientists (all levels) with experience in Mass Spec, LC, GC, QC compendial testing, Wet Chemistry, Microbiology, Sterility, Synthetic...

Job OpportunityMarvel Medical Staffing Allied is seeking a skilled Traveling Medical Imaging Specialist to fill a temporary position in a medical facility.Job RequirementsSpecialty: Diagnostic ImagingDiscipline: Healthcare ProfessionalDuration: 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelAbout the PositionThis is a unique opportunity to...

About the RoleWe are seeking a highly skilled and compassionate Medical Support Specialist to join our team at BioLife Plasma Services. As a Medical Support Specialist, you will play a critical role in ensuring the safety and well-being of our donors, while also contributing to the success of our plasma collection operations.Key ResponsibilitiesDetermine...