Document review Jobs in Plano, TX
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Document review • plano tx
Last updated: 9 hours ago
Specialty Infusion Pharmacy and work.Join us in Simplifying Complex Care!.Must be able to work 8 : 30am-5pm Eastern Time Zone Monday-Friday.
Affordable Medical, Dental, and Vision Insurance Plans.Comp...Show moreLast updated: 30+ days ago
FM is a leading property insurer of the worlds largest businesses providing more than one-third of FORTUNE 1000- size companies with engineering-based risk management and property insurance solutio...Show moreLast updated: 27 days ago
Mercor is partnering with a top AI research organization to evaluate and improve how coding assistants reason, act, and communicate during development workflows.
We’re seeking technically sharp expe...Show moreLast updated: 17 hours ago
SmithRx is a rapidly growing, venture-backed Health-Tech company.Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug ...Show moreLast updated: 30+ days ago
Medix Infusion is currently seeking a highly skilled and dedicated Document Review Specialist to join our team.The role is an administrative position that will be responding to a high volume of int...Show moreLast updated: 23 days ago
We are currently looking for individuals to fulfill Part-Time and Full-Time Document Administrator positions.No experience is required to apply for the position.
Training is provided through former ...Show moreLast updated: 7 days ago
Good things are happening at Berkshire Hathaway GUARD Insurance Companies.We provide Property & Casualty insurance products and services through a nationwide network of independent agents and broke...Show moreLast updated: 9 days ago
These are just a few words that describe what life is like at Toyota.As one of the world’s most admired brands, Toyota is growing and leading the future of mobility through innovative, high-quality...Show moreLast updated: 30+ days ago
Accurate and timely coding and review of home health OASIS assessments and plan of care to ensure compliance with CMS regulatory guidelines, optimize reimbursement, contribute to overall quality im...Show moreLast updated: 14 days ago
FM is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000- size companies with engineering-based risk management and property insurance solut...Show moreLast updated: 9 hours ago
We have a great team of friendly, talented and inspiring people at First United.As a learning organization, we take pride in offering exciting opportunities for employees to grow and follow their p...Show moreLast updated: 3 days ago
We have a great team of friendly, talented and inspiring people at First United.As a learning organization, we take pride in offering exciting opportunities for employees to grow and follow their p...Show moreLast updated: 30+ days ago
A leading tech company is seeking a Senior Software Engineer to advance their document lifecycle management solutions.The role involves designing scalable applications, collaborating with cross-fun...Show moreLast updated: 16 hours ago
Soleo Health is seeking a Clinical Review Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA).
Join us in Simplifying Complex Care!.Must be able to work 8 : 30am-5pm Eastern...Show moreLast updated: 1 day ago
Decima International is a professional services company, providing project management and controls services to clients in the United States and the Middle East.
Our mission is to become the premier ...Show moreLast updated: 30+ days ago
JLL empowers you to shape a brighter way.Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services, advisory and technology f...Show moreLast updated: 30+ days ago
Benchmark’s success is strengthened by the efficiencies in what we do.This includes everything from the origination step to preparing the physical loan file to go to the investor.The Document Custo...Show moreLast updated: 30+ days ago
KLDiscovery, one of the largest national eDiscovery providers, is currently seeking attorneys who are actively licensed in any.
We have an ongoing need for Document Reviewers.Document Reviewers will...Show moreLast updated: 30+ days ago
The Director of Utilization Review oversees and develops clinical services including utilization review, peer reviews, case management and quality assurance.
Director of UR manages day-to-day operat...Show moreLast updated: 30+ days ago
Clinical Review Coordinator
Soleo Health IncFrisco, TX, USFull-time
- Promoted
Plan Review Consultant
Factory Mutual Insurance CompanyFrisco, Texas, USAFull-time
- Promoted
- New!
Senior / Staff Code Review Experts
MercorWylie, Texas, USRemote
Full-time
Clinical Review Quality Assurance Pharmacist
SmithRxPlano, TX, USFull-time
- Promoted
DOCUMENT REVIEW SPECIALIST (INTAKE)
Medix InfusionAddison, TX, United StatesFull-time
- Promoted
Document Administrator Jobs - Hiring Immediately
MyJobResourcePlano, TX, United StatesFull-time +1
Utilization Review Nurse
Berkshire Hathaway GUARD Insurance CompaniesPlano, TX, USFull-time
Credit Risk Review Specialist
Toyota North AmericaPlano, TexasFull-time
OASIS Review Coding Specialist
EMPOWER SERVICESRichardson, TX, USFull-time
- New!
Plan Review Consultant
FM CorporationFrisco, TX, United StatesFull-time
- Promoted
Loan Review Officer III
First United BankPlano, TX, United StatesFull-time
Loan Document Specialist II - Commercial
First United Bank and TrustPlano, TX, United StatesFull-time
- Promoted
- New!
Senior Software Engineer Document Lifecycle Platform
MediumPlano, TX, United StatesFull-time
Clinical Review Coordinator
Soleo HealthFrisco, TX, United StatesFull-time
Document Controller (On-site) - Multiple Sites
Decima InternationalPlano, TX, USFull-time
Sworn Document Specialist
JLLPlano, TXFull-time
Document Custody Specialist - In Office
Benchmark MortgagePlano, TexasFull-time
Document Reviewer
KLDiscoveryTX, United StatesFull-time
Director of Utilization Review
ezURs.comRichardson, TXFull-time
- associate dentist (from $ 145,600 to $ 250,000 year)
- dentist (from $ 147,800 to $ 250,000 year)
- director of software engineering (from $ 140,000 to $ 245,000 year)
- engineering director (from $ 23,381 to $ 240,706 year)
- medical director (from $ 76,750 to $ 234,900 year)
- product director (from $ 150,714 to $ 220,500 year)
- principal software engineer (from $ 147,400 to $ 215,000 year)
- snowflake (from $ 133,120 to $ 211,350 year)
- business development director (from $ 70,000 to $ 211,030 year)
- supply chain director (from $ 155,000 to $ 210,132 year)
- San Diego, CA (from $ 49,238 to $ 125,044 year)
- Seattle, WA (from $ 55,575 to $ 118,560 year)
- San Francisco, CA (from $ 48,750 to $ 113,588 year)
- Washington, DC (from $ 58,240 to $ 101,781 year)
- Columbia, MO (from $ 58,240 to $ 97,695 year)
- New York, NY (from $ 49,767 to $ 92,490 year)
- Los Angeles, CA (from $ 51,675 to $ 84,196 year)
- Denver, CO (from $ 47,477 to $ 78,571 year)
- Kansas City, KS (from $ 46,800 to $ 74,444 year)
- Kansas City, MO (from $ 46,800 to $ 74,444 year)
The average salary range is between $ 35,100 and $ 67,538 year , with the average salary hovering around $ 48,750 year .
Clinical Review Coordinator
Soleo Health IncFrisco, TX, US30+ days ago
Job type
- Full-time
Job descriptionCompletes prior authorization reviews in a timely manner through their clinical expertise evaluating patient clinicals and payer clinical criteria to determine if the service meets medical necessity of the payer Reviews and comprehends patient progress notes, lab reports, infusion summaries, imaging reports, and plan of care. Identifies appropriate medical documentation that satisfies payer medical policy criteria. Request additional clinical information when needed to render a decision and / or determine next steps Assists with creation of clinical support packets to be used for the initial prior authorization and / or subsequent appeals In cases of authorization denials, constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate medical necessity criteria and other pertinent clinical facts. Creates and maintains, a library of clinical support resources to include templates for appeals, journal articles, other reference tools that can be used to support medical necessity. When existing resources are unavailable search for supporting clinical evidence to support appeals. Provides program support by staying current on the top payer covered services, medical necessity requirements and formulary details. Also, must be proficient in locating payer resources related to medical policies. Assist with post service insurance denials & appeals Participates in outcome programs including but not limited to data entry, reporting functions, and patient calls with necessary to complete denial support tasks Provides inter-departmental training to increase teams’ knowledge for top disease states and specialty drugs, clinical requirements, and prior authorization & appeal best practices Must be able to work Remote, 8 : 30am-5pm Eastern Time Zone Monday-Friday Must have experience with denial support, clinical reviews, and appeals for Infusions Bachelor’s degree in healthcare field or 3 years in a qualified position Preferred experience with patients with specialty infusion needs and challenges Excellent communication skills (written, oral, and presentation), excellent customer service and interpersonal skills Flexible communication style, highly motivated team player with excellent listening skills Able to handle stress to meet identified program objectives and manages time effectively Self-starter that takes responsibility, is comfortable with accountability and results oriented Competent in the use of Word, Excel, and Power Point Must be able to communicate effectively with all levels of organization within Soleo Health. Must enthusiastically support Soleo Health’s philosophy and goals. Improve patients’ lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun!
Job Description
Job Description
Description :
Soleo Health is seeking a Clinical Review Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA) . Join us in Simplifying Complex Care!
Must be able to work 8 : 30am-5pm Eastern Time Zone Monday-Friday.
Soleo Health Perks :
- Competitive Wages
- Flexible schedules
- 401(k) with a match
- Referral Bonus
- Paid Time Off
- Annual Merit Based Increases
- No Weekends or Holidays
- Affordable Medical, Dental, and Vision Insurance Plans
- Company Paid Disability and Basic Life Insurance
- HSA and FSA (including dependent care) options
- Education Assistant Program
The Position :
The Clinical Review Coordinator works closely with all departments to research and provide accurate and timely clinical review on complex, patient cases to ensure that approval is secured and to mitigate risk of technical and clinical denials. The Clinical Review Coordinator attempts to resolve denials by utilizing nationally recognized criteria for appeal submission. Responsibilities include :
Schedule :
Requirements :
About Us : Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo’s Core Values :
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
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