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Report Reviewer Remote Jobs in Florida (NOW HIRING)

Imh

Revenue Integrity Analyst

Lake Park, FL · Remote

$31.01 - $48.84/hr

... remote position. Essential Functions Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team. Participates, researches and ...

YO AI Labs

Senior DoD Staff Writing SME - Remote

Miami, FL · Remote

$40 - $80/hr

Remote - United States Job Overview We are seeking experienced Senior DoD Staff Writing SMEs to ... Produce authentic DoD-style reports and administrative documentation. * Review AI-generated content ...

iPromo

Remote Sales Manager

Miami, FL · On-site +1

$80K - $110K/yr

Pipeline & Performance - Account Executive Team iPromo | Remote | Reports to VP of Sales Base: $80 ... Pipeline Creation & Health - ensure strong pipeline, run weekly reviews, fix gaps fast * Activity ...

YO AI Labs

Pharmacovigilance Expert - Remote

Miami, FL · Remote

$70 - $80/hr

Remote Job Overview We are seeking experienced Pharmacovigilance Experts to contribute their drug ... Review reports for compliance with ICH E2F, ICH E2C(R2), and GVP guidelines. * Analyze aggregate ...

YO AI Labs

Analytics Expert - Remote

Miami, FL · Remote

$30 - $80/hr

Remote Job Overview We are seeking experienced Business Intelligence & Analytics Experts to ... Review and validate dashboards, reports, KPIs, and data visualizations. * Build or refine ...

YO AI Labs

Biostatistician Expert - Remote

Miami, FL · Remote

$60 - $70/hr

Remote Job Type: Contractor Pay: $60-$65/hour Job Overview We are looking for an experienced ... Review Clinical Study Reports (CSRs) and regulatory submission data. * Perform statistical analyses ...

YO AI Labs

Clinical Document Author - Remote

Miami, FL · Remote

$50 - $80/hr

Remote Job Type: Contractor Pay: $50-$80/hour Job Overview We are seeking an experienced Medical ... Author and review Clinical Study Reports (CSRs) and other regulatory documents. * Interpret ...

YO AI Labs

AI Finance Expert - Remote

Miami, FL · Remote

$100 - $200/hr

Remote Job Overview We are seeking experienced AI Finance Domain Experts to contribute their ... Author and review investment memos, due diligence reports, research summaries, and technical ...

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How to get a job as a report reviewer?

To get a job as a report reviewer, candidates typically need a bachelor's degree in a relevant field such as business, finance, or data analysis. Strong analytical skills, attention to detail, and experience with report writing or data review are important. Familiarity with tools like Microsoft Excel or data management software can also enhance prospects.

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Report Reviewer Remote jobs near you

Utilization Review Coordinator

NRG MGMT LLC

Lake Worth, FL • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

Job description

Remedial Pro is a specialized medical billing company serving substance abuse treatment and behavioral health providers. Through services including benefits verification, billing and claims submission, and utilization review, we help treatment centers optimize revenue cycle management while focusing on delivering exceptional patient care. Our team is committed to accuracy, professionalism, efficiency, and outstanding client service

JOB DESCRIPTION

The primary goal is to monitor adherence to the facility’s utilization review plan to ensure the effective and efficient use of facility services and monitor the appropriateness of facility  admissions and extended facility stays.

Job Classification: Non Exempt Hourly        Reports To: Senior RCM Director

Supervisory Responsibilities:   None.

JOB DUTIES:

  • Completes Initial, concurrent, peer reviews, and expedited appeals in a timely manner to ensure continuous coverage.
  • responsible for all aspects of the authorization of treatment via insurance and managed care companies.
  • Utilize clinical information and knowledge of Medical Necessity criteria to effectively communicate plans of care to insurance case managers, facility staff, and healthcare partners.
  • Collaborate with facilities in order to obtain necessary clinical documentation for reviews and ensure appropriate lengths of stay and effective utilization of resources.
  • Represents the company in a positive manner per the Professional Standards of Conduct
  • Protects the confidentiality of patients and the privacy of staff
  • provides appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner.
  • Uses a computer to type correspondence, reports and other items as requested,
  • Experience in the Mental Health/Addiction space, May be a fully licensed SUDC, CAC,LADC, LCSW, CMHC or RN
  • Additional duties as assigned.

MINIMUM QUALIFICATIONS

  • Bachelor’s or Master’s degree in Behavioral/Mental Health Field (or related experience) preferred
  • A minimum of 3-5 years experience doing utilization review is required preferred
  • Expertise in psychiatric and addiction disorders
  • Experience interacting effectively with co-workers as well as clients.
  • Experience maintaining confidentiality in accordance with HIPAA and company policy requirements.

Required Skills/Abilities:

  • Excellent verbal and written communication skills.
  • Excellent organizational skills and attention to detail.
  • Excellent time management skills with a proven ability to meet deadlines.
  • Proficient with Microsoft Office Suite or related software.
PHYSICAL REQUIREMENTS
  • Prolonged periods sitting at a desk and working on a computer.

Remote Position

Benefits:

• Competitive salary

• Health, dental, and vision insurance

• 401(k) with company match

• Paid time off and holidays

• Continuing education and professional development opportunities

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