What are the responsibilities and job description for the Utilization Review and Compliance Specialist position at Exact Billing Solutions?
Utilization Review and Compliance Specialist
At Exact Billing Solutions, we're committed to delivering high-quality services that meet regulatory requirements and exceed client expectations. We're seeking a skilled Utilization Review and Compliance Specialist to join our Utilization Review team.
In this role, you'll be responsible for reviewing and evaluating treatment plans to ensure they meet the highest standards of quality and compliance. You'll also participate in quality improvement initiatives, analyzing treatment plan trends, identifying gaps in services, and suggesting modifications to improve care outcomes. Your expertise in utilization review, quality assurance, or case management will be essential in helping us achieve our goals.
- Key Responsibilities:
- Review and evaluate treatment plans for quality and accuracy
- Collaborate with clinical staff to provide education and support on treatment plan development and documentation requirements
- Participate in quality improvement initiatives to identify areas for improvement and implement changes to enhance care outcomes
