Branch Review Specialist jobs in Saint Cloud, MN

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 Advocate
  • WeCare
  • Waite, MN FULL_TIME
  • Hours: M-F 8a-4:30p  NO Remote Work

     

    WeCare is actively seeking a Utilization Review Advocate. This vital role is central to our commitment to delivering exceptional care and support. The ideal candidate will be responsible for overseeing various aspects of utilization management, ensuring adherence to service standards, and collaborating across departments to promote efficient, person-centered care. A key component of this role includes the management of billing reviews and the diligent follow-up on claims denials.

     

    Duties to include:

    • Monthly audit of client medical coverage to ensure continuation of services.
    • Processes patient authorizations, denials, and appeals.
    • Conduct billing reviews and actively follow up on claims denials to ensure accurate and timely reimbursement.
    • Issues denial letters in accordance with policies, procedures, and regulatory guidelines.
    • Identifies documentation deficiencies, admission & Intake screening issues, appropriate service enrollment issues contributing to payment denials.
    • Completes paperwork to obtain prior authorizations to ensure coverage and continuation of services.
    • Participate in pre-screening of new referrals, perform intakes & coordinate with other departmental services for handoff.
    • Perform Navigation Services via MNsure to connect new referrals and current clients that have lapsed with benefits to ensure continued care.
    • Performs thorough & accurate documentation in all aspects of daily duties.
    • Collaborates with client coordinator and other teams as needed to expedite timely resolution of situations to include inappropriate admissions, inappropriate service enrollment issues and with questions regarding appropriate utilization management.
    • Back-up the client coordinator as needed.
    • Performs other job-related duties as assigned.


    Requirements:

    • Associates or higher in Behavioral Health, Social Work, Psychology or Casework Management
    • Must be proficient in MS Office Suite
    • Confident with utilization of Electronic Health Record (EHR) systems
    • Must be able to clear a Minnesota Department of Human Services Background Check
  • 2 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • BEARDSLEY, MN FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • HANLEY FALLS, MN FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • Holloway, MN FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • VILLARD, MN FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • BIRD ISLAND, MN FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • Just Posted

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0 Branch Review Specialist jobs found in Saint Cloud, MN area

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County Meter Reader
  • Meter Reader
  • Saint Cloud, MN
  • Responsibilities The primary responsibility of this position is to read meters and record consumption of the water used,...
  • 3/28/2024 12:00:00 AM

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Hairstylist in St Cloud
  • Fantastic Sams Cut & Color of Minnesota
  • Saint Cloud, MN
  • Are you ready to join a fun, family of fantastic stylists that allows you to shine on day one? Rauenhorst Enterprises, I...
  • 3/28/2024 12:00:00 AM

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Caregiver
  • Sevita
  • Saint Cloud, MN
  • REM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual...
  • 3/28/2024 12:00:00 AM

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Direct Support Professional
  • Sevita
  • Saint Cloud, MN
  • REM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual...
  • 3/28/2024 12:00:00 AM

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PART TIME Member Services Representative
  • Planet Fitness
  • Saint Cloud, MN
  • NOW HIRING FOR PART TIME POSITIONS FOR OUR ST. CLOUD LOCATION Job Summary The Member Services Representative will be res...
  • 3/28/2024 12:00:00 AM

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Select Service Account Manager (Small Business)
  • Dahl Consulting
  • Saint Cloud, MN
  • Do you have experience in the insurance industry? If so, this might be the job for you! Dahl Consulting is currently par...
  • 3/28/2024 12:00:00 AM

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Wire Specialist
  • Stearns Bank NA.
  • Saint Cloud, MN
  • Job Description Job Description Come Grow with Us and Join an Award-Winning Organization! Stearns Bank is looking for a ...
  • 3/26/2024 12:00:00 AM

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Store Customer Service Specialist
  • Sherwin-Williams
  • Elk River, MN
  • This is position is essential to the success of our retail stores. Customer Service Specialists work closely with wholes...
  • 3/1/2024 12:00:00 AM

St. Cloud is a city in the U.S. state of Minnesota and the largest population center in the state's central region. Its population is 67,984 according to the 2017 US census estimates, making it Minnesota's tenth largest city. St. Cloud is the county seat of Stearns County and was named after the city of Saint-Cloud, France (in Île-de-France, near Paris), which was named after the 6th-century French monk Clodoald. Though mostly in Stearns County, St. Cloud also extends into Benton and Sherburne counties, and straddles the Mississippi River. It is the center of a small, contiguous urban area tot...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Branch Review Specialist jobs
$47,913 to $62,302
Saint Cloud, Minnesota area prices
were up 1.3% 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