Filing documents as needed. * Initial Precertification with payors. * Concurrent Clinical review with payors. * Document in the electronic system daily in real time. * Admission audit. * Ensures that ...
Filing documents as needed. * Initial Precertification with payors. * Concurrent Clinical review with payors. * Document in the electronic system daily in real time. * Admission audit. * Ensures that ...
... file making sure that what is provided in one case is copied to each individual file. Successful ... Must have 5+ years of pre litigation discovery experience, document review experience is also ...
Quick apply
... file making sure that what is provided in one case is copied to each individual file. Successful ... Must have 5+ years of pre litigation discovery experience, document review experience is also ...
File Review and Quality Control * Read, interpret, and apply information from loan applications and documents * Verify loan files and supporting documentation for completeness and accuracy * Review ...
File Review and Quality Control * Read, interpret, and apply information from loan applications and documents * Verify loan files and supporting documentation for completeness and accuracy * Review ...
Unprocessed or missing file review (post-identification) * Consultation with development staff as necessary * Participation in new client implementation meetings as well as existing client project ...
Unprocessed or missing file review (post-identification) * Consultation with development staff as necessary * Participation in new client implementation meetings as well as existing client project ...
Unprocessed or missing file review (post-identification) * Consultation with development staff as necessary * Participation in new client implementation meetings as well as existing client project ...
Unprocessed or missing file review (post-identification) * Consultation with development staff as necessary * Participation in new client implementation meetings as well as existing client project ...
Administrative Support Associate-Public Assistance Division
Xenia, OH · On-site
$33K/yr
Files documents and maintains case records. Processes data matches and completes case alerts to include reviewing match data, checking case records, pursuing verifications, tracking match completion ...
Administrative Support Associate-Public Assistance Division
Xenia, OH · On-site
$33K/yr
Files documents and maintains case records. Processes data matches and completes case alerts to include reviewing match data, checking case records, pursuing verifications, tracking match completion ...
Trial Master File Specialist
Cincinnati, OH · On-site
$32.25 - $44/hr
The Trial Master File (TMF) is a collection of documents that stores all data and research ... Support CTMs with review of TMF Plans as required; * Support study team(s) during periodic TMF QCs ...
Trial Master File Specialist
Cincinnati, OH · On-site
$32.25 - $44/hr
The Trial Master File (TMF) is a collection of documents that stores all data and research ... Support CTMs with review of TMF Plans as required; * Support study team(s) during periodic TMF QCs ...
Trial Master File Specialist
Cincinnati, OH · On-site
$32.25 - $44/hr
The Trial Master File (TMF) is a collection of documents that stores all data and research ... Support CTMs with review of TMF Plans as required; * Support study team(s) during periodic TMF QCs ...
Trial Master File Specialist
Cincinnati, OH · On-site
$32.25 - $44/hr
The Trial Master File (TMF) is a collection of documents that stores all data and research ... Support CTMs with review of TMF Plans as required; * Support study team(s) during periodic TMF QCs ...
Product Filing Supervisor
Richfield, OH · Hybrid
Reviews and interprets state insurance regulations to ensure compliance, providing guidance to the team. * Ensures the maintenance of detailed records of all filings and correspondence with ...
Product Filing Supervisor
Richfield, OH · Hybrid
Reviews and interprets state insurance regulations to ensure compliance, providing guidance to the team. * Ensures the maintenance of detailed records of all filings and correspondence with ...
Junior Property Compliance Analyst
Cleveland, OH · On-site +1
$48K - $65K/yr
Complete pre- and post-occupancy tenant file compliance reviews and reports for designated clients as assigned, following established guidelines and supervisory directions. * Identify and escalate ...
Junior Property Compliance Analyst
Cleveland, OH · On-site +1
$48K - $65K/yr
Complete pre- and post-occupancy tenant file compliance reviews and reports for designated clients as assigned, following established guidelines and supervisory directions. * Identify and escalate ...
Product Filing Supervisor
Richfield, OH · Hybrid
Reviews and interprets state insurance regulations to ensure compliance, providing guidance to the team. * Ensures the maintenance of detailed records of all filings and correspondence with ...
Product Filing Supervisor
Richfield, OH · Hybrid
Reviews and interprets state insurance regulations to ensure compliance, providing guidance to the team. * Ensures the maintenance of detailed records of all filings and correspondence with ...
Product Filing Supervisor
Richfield, OH · On-site
Reviews and interprets state insurance regulations to ensure compliance, providing guidance to the team. * Ensures the maintenance of detailed records of all filings and correspondence with ...
Product Filing Supervisor
Richfield, OH · On-site
Reviews and interprets state insurance regulations to ensure compliance, providing guidance to the team. * Ensures the maintenance of detailed records of all filings and correspondence with ...
Product Filing Supervisor
Richfield, OH · Hybrid
Reviews and interprets state insurance regulations to ensure compliance, providing guidance to the team. * Ensures the maintenance of detailed records of all filings and correspondence with ...
Product Filing Supervisor
Richfield, OH · Hybrid
Reviews and interprets state insurance regulations to ensure compliance, providing guidance to the team. * Ensures the maintenance of detailed records of all filings and correspondence with ...
Participate in medical/legal/regulatory (MLR) review committee governance and claims substantiation file review * Identify, mitigate, and escalate off-label promotion risk, recognizing labeling and ...
Participate in medical/legal/regulatory (MLR) review committee governance and claims substantiation file review * Identify, mitigate, and escalate off-label promotion risk, recognizing labeling and ...
Property Compliance Analyst
Cleveland, OH · On-site +1
$58K - $78K/yr
Meet or exceed established file review productivity benchmarks. * Develop effective client relationships through professionalism and follow-through. * Other duties and projects as assigned. Your ...
Property Compliance Analyst
Cleveland, OH · On-site +1
$58K - $78K/yr
Meet or exceed established file review productivity benchmarks. * Develop effective client relationships through professionalism and follow-through. * Other duties and projects as assigned. Your ...
Prepress & Color Review Specialist
Batavia, OH · On-site
$31.25/hr
At the earliest stage of the process, incoming files are analyzed for technical structure, color ... Receive, review, and onboard incoming artwork files into the production system * Perform technical ...
Prepress & Color Review Specialist
Batavia, OH · On-site
$31.25/hr
At the earliest stage of the process, incoming files are analyzed for technical structure, color ... Receive, review, and onboard incoming artwork files into the production system * Perform technical ...
Mortgage Compliance Review Analyst
Cincinnati, OH · On-site
$28 - $31/hr
Review claims filed with mortgage insurance providers to confirm proper documentation. * Audit processes for missed payments, borrower solicitation, notices, and soft credit report pulls. * Validate ...
Quick apply
Mortgage Compliance Review Analyst
Cincinnati, OH · On-site
$28 - $31/hr
Review claims filed with mortgage insurance providers to confirm proper documentation. * Audit processes for missed payments, borrower solicitation, notices, and soft credit report pulls. * Validate ...
Files documents and maintains case records. Processes data matches and completes case alerts to include reviewing match data, checking case records, pursuing verifications, tracking match completion ...
Files documents and maintains case records. Processes data matches and completes case alerts to include reviewing match data, checking case records, pursuing verifications, tracking match completion ...
Participates in gathering information and file review for the American Correctional Association (ACA) audit. * Ensures staffing and schedule are adequate for minimum coverage. * Communicates ...
Participates in gathering information and file review for the American Correctional Association (ACA) audit. * Ensures staffing and schedule are adequate for minimum coverage. * Communicates ...
Administrative File Clerk - Hiring ASAP
Dublin, OH · On-site
$20/hr
Print cases for the attorney to review, tab for signature, and coordinate any corrections needed ... Previous mailroom, file handling, or similar administrative/clerk experience preferred Job Type ...
Administrative File Clerk - Hiring ASAP
Dublin, OH · On-site
$20/hr
Print cases for the attorney to review, tab for signature, and coordinate any corrections needed ... Previous mailroom, file handling, or similar administrative/clerk experience preferred Job Type ...
File Review information
What are some common challenges faced by professionals in File Review roles, and how can they be managed?
What are the key skills and qualifications needed to thrive as a File Reviewer, and why are they important?
What are file review jobs?
What is the difference between File Review vs Document Reviewer?
| Aspect | File Review | Document Reviewer |
|---|---|---|
| Primary Role | Assessing and evaluating files for accuracy, completeness, and compliance | Examining and verifying individual documents for correctness and adherence to standards |
| Required Credentials | Typically requires knowledge of industry standards, basic certifications, or training | Often requires similar credentials, with emphasis on document-specific standards |
| Work Environment | Office or remote, often in legal, financial, or healthcare sectors | Office-based, in legal, insurance, or compliance industries |
| Employer Usage | Used by firms needing to verify file integrity and compliance | Utilized by organizations reviewing individual documents for accuracy |
File Review involves evaluating entire files for compliance and completeness, while Document Reviewer focuses on verifying individual documents. Both roles share similar credentials and work environments, but their scope differs—File Review is broader, whereas Document Review is more detailed on specific documents.

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 10 days ago
Job description
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it's needed most.
With locations in Indiana, Michigan, Texas, and Arizona, we're expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day
OverviewNorth Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
Benefits of joining NPH
- Competitive pay rates
- Medical, Dental, and Vision Insurance
- NPH 401(k) plan with up to 4% Company match
- Employee Assistance Program (EAP) Programs
- Generous PTO and Time Off Policy
- Special tuition offers through Capella University
- Work/life balance with great professional growth opportunities
- Employee Discounts through LifeMart
- Filing documents as needed.
- Initial Precertification with payors.
- Concurrent Clinical review with payors.
- Document in the electronic system daily in real time.
- Admission audit.
- Ensures that CON's/RON's and CMS certifications are completed by provider.
- Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
- Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
- Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
- Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
- Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
- Complies with hospital expectations regarding ethical behavior and standards of conduct.
- Complies with federal and hospital requirements in the areas of protected health information and patient information.
- Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
- Provides education to nursing staff. leadership team, and providers regarding documentation.
- Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.Â
Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.
Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.
Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.
Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW
Employment Type: FULL_TIME