- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the ... hospital's utilization review plan to ensure the effective...experience. + 2-3 years experience working as a UR Specialist , Medical Billing or health care quality assurance. +… more
- Datavant (Providence, RI)
- …tools. The specialist serves as a key liaison between coding, billing, utilization review , case management, and payer relations to reduce denials and improve ... experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim...of Inpatient coding experience, with a focus on denial review and resolution **You will:** + Monitor and manage… more
- PPL Corporation (Providence, RI)
- …today. Overview **NOTE: This is a hybrid position requiring on-site presence three days per week at one of our local offices, located in Allentown, PA (Lehigh ... and decision-making process. This position performs complex tasks such as review of reporting materials, presentation of reporting materials, data updates from… more
- Evolent (Providence, RI)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more