What are the responsibilities and job description for the Utilization Review Specialist position at ICBD Holdings LLC?
Description
Utilization Review Specialist - Exact Billing Solutions
Lauderdale Lakes, FL
About Exact Billing Solutions
Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.
Growth Opportunity in Cutting-Edge Medical Billing
If you're an experienced clinician looking to forge a new career path where your clinical knowledge is valued, consider our Utilization Review Specialist position.
As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources. You will be responsible for reviewing and evaluating clinical documentation, treatment plans, and medical records to optimize patient care and streamline healthcare delivery processes.
What You Will Do
Clinical Documentation Review :
- Evaluate and analyze medical records, treatment plans, and clinical documentation to ensure accuracy and compliance with established standards.
- Collaborate with healthcare providers to gather additional information or clarification on documentation when necessary.
Utilization Review :
Collaboration and Communication :
Quality Improvement :
Regulatory Compliance :
Requirements
Education / Experience and Other Requirements
Expertise Needed