Branch Review Specialist jobs in Long Beach, CA

Branch Review Specialist conducts branch internal audits to determine whether business controls are sufficient and effectively executed in accordance with bank policies and procedures. Tests established procedures to ensure operational efficiency within branch offices. Being a Branch Review Specialist determines whether branches are performing their planning, accounting, custodial, or business control activities in compliance with management instructions, policies, and procedures. Evaluates functions and activities in assigned areas to determine the nature of operations and the adequacy of systems to achieve established objectives. Additionally, Branch Review Specialist recommends corrective actions and improvements. Requires a bachelor's degree. Typically reports to a supervisor or manager. The Branch Review Specialist occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Branch Review Specialist typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Utilization Review Assistant
  • Long Beach Memorial Medical Center
  • Long Beach, CA FULL_TIME
  • Utilization Review Assistant

    - (LON012262)
    Description

    Title:
    Utilization Review Assistant
    Location: Long Beach
    Department: Utilization Management
    Status: Full time
    Shift: Day
    Pay Range*: $24.72/hr – $35.85/hr

    At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

    Position Summary
    The Utilization Review Assistant, using decision trees and standard work, determines appropriate chart documents and timely transmits the documents to government and private health plans to secure authorizations. The URA documents activities and authorizations per standard work.

    The Utilization Review Assistant assures timely and accurate follow through of all office based systems needed to assist with the Utilization Management Department functions. The Utilization Review Assistant collaborates with the case managers and social workers to provide needed documentation and support for day to day Department needs. Fiscal responsibilities include functions to assure positive accounts receivable trends by processing and obtaining information required for authorizations. The Utilization Review Assistant receives supervision and direction from an assigned lead Resource Management Assistant for day to day activities.

    Essential Functions and Responsibilities of the Job

    1. Appropriate chart documents are chosen and transmitted per decision trees and standard work.

    2. Chart documentation is transmitted per department timeliness requirements.

    3. Documentation in the billing system of activities and authorizations is complete and timely.

    4. Duties performed meet department productivity requirements.

    5. Performs other duties as assigned.


    • Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

    Qualifications

    Qualifications/Work Experience:
    • 2 years medical office/UR Department/Admitting Central Auth Unit/medical group experience in utilization review, insurance contracts, multi-payer inpatient authorization systems and/or business office operations is required, or 2 years’ experience as a Licensed Vocational Nurse.
    Education/Licensure/Certification:
    • AA Degree and/or healthcare related certificate course preferred.
  • Just Posted

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Processor, COB Review - Remote
  • Molina Healthcare
  • Long Beach, CA FULL_TIME
  • JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible for payment. This requires the maintenance...
  • 2 Days Ago

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Bill Review Analyst
  • AssuredPartners
  • Torrance, CA OTHER
  • Overview Processes Workers’ Compensation medical bills in the Smart Advisor Bill Review Software application, to reprice bills to the OMFS (Official Medical Fee Schedule) and/or contracted PPO rate. K...
  • 14 Days Ago

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Utilization Review Case Manager
  • Torrance Memorial Medical Center
  • Torrance, CA FULL_TIME
  • Under general supervision, the Utilization Review Case Manager (UR CM) performs review of patient referral and medical record for appropriateness for Skilled Home Health services. The UR CM validates ...
  • 1 Month Ago

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Care review processor
  • Icon VendorPass and Affiliates
  • Long Beach, CA FULL_TIME
  • Job Description : " Will the position be 100% remote? Yes, 100% remote Are there any specific location requirements? No specific location requirements. Must work California (Pacific) hours. Are there ...
  • 1 Month Ago

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Claims Clinical Review Nurse, Senior
  • Blue Shield of California
  • Long Beach, CA FULL_TIME
  • Your RoleThe FEP Post Service (PS-CR) department is BSC Federal Employee Program (FEP) retrospective clinical review program that entails detailed claims review of billed physician services and relate...
  • 1 Month Ago

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0 Branch Review Specialist jobs found in Long Beach, CA area

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Sales Account Executive International Logistics
  • Laufer Group International
  • Long Beach, CA
  • Company Headquartered in New York with another 7 offices in the United States and dedicated partners strategically locat...
  • 3/28/2024 12:00:00 AM

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Psychologist
  • Department of the Air Force
  • Los Angeles, CA
  • Summary The PALACE Acquire Program offers you a permanent position upon completion of your formal training plan. As a Pa...
  • 3/28/2024 12:00:00 AM

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Retail Service Specialist
  • American Automobile Association
  • Arcadia, CA
  • Retail Service Specialist We are looking for someone who will thrive in a sales and service environment. We'll provide t...
  • 3/28/2024 12:00:00 AM

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Customer Service Spclst
  • Bbcnbank
  • Torrance, CA
  • ** Customer Service Spclst** **Job Category****:** Branch Operations **Requisition Number****:** CUSTO005036 Showing 1 l...
  • 3/28/2024 12:00:00 AM

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Health Physicist
  • Department of Defense
  • Los Angeles, CA
  • Summary Click on "Learn more about this agency" button below for IMPORTANT additional information. This position will su...
  • 3/27/2024 12:00:00 AM

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Dental Specialist
  • Los Angeles County (CA)
  • Los Angeles, CA
  • Position/Program Information FILING START DATE: 6/21/2016 Until the needs of the service are met and is subject to closu...
  • 3/27/2024 12:00:00 AM

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CLINICAL NURSE SPECIALIST (VARIOUS SPECIALTIES)
  • The County of Los Angeles
  • Los Angeles, CA
  • CLINICAL NURSE SPECIALIST (VARIOUS SPECIALTIES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/114...
  • 3/27/2024 12:00:00 AM

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Consumer Loan Sales Specialist
  • OneMain Financial
  • Long Beach, CA
  • PUT YOUR CAREER IN MOTION AS A CONSUMER LOAN SALES SPECIALIST At OneMain, Consumer Loan Sales Specialists empower custom...
  • 3/26/2024 12:00:00 AM

Long Beach is a city on the Pacific Coast of the United States, within the Los Angeles metropolitan area of Southern California. As of 2010, its population was 462,257. It is the 39th most populous city in the United States and the 7th most populous in California. Long Beach is the second-largest city in the Los Angeles metropolitan area and the third largest in Southern California behind Los Angeles and San Diego. Long Beach is a charter city. The Port of Long Beach is the second busiest container port in the United States and is among the world's largest shipping ports. The city also maintai...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Branch Review Specialist jobs
$55,701 to $72,429
Long Beach, California area prices
were up 3.2% from a year ago

Branch Review Specialist in Columbus, MS
The branch review specialist job description covers overall performance of a branch.
December 15, 2019
Branch Review Specialist in Muskegon, MI
When a branch is not working at its best, a review specialist comes in.
January 05, 2020
Branch Review Specialist in New Brunswick, NJ
A branch review specialist has a specific set of duties outside of management and basic customer service within a bank branch.
January 16, 2020