Branch Review Specialist jobs in Hollywood, FL

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 Specialist
  • Exact Billing Solutions
  • Lauderdale, FL FULL_TIME
  • Utilization Review Specialist – Exact Billing Solutions
    Lauderdale Lakes, FL


    About Exact Billing Solutions

    Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.


    Growth Opportunity in Cutting-Edge Medical Billing

    If you're an experienced clinician looking to forge a new career path where your clinical knowledge is valued, consider our Utilization Review Specialist position.


    As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources. You will be responsible for reviewing and evaluating clinical documentation, treatment plans, and medical records to optimize patient care and streamline healthcare delivery processes. Ideal candidates will possess a clinical background, and preference will be given to individuals with specialized expertise, for example, BCBA (Board Certified Behavior Analyst), LSW (Licensed Social Worker), LMHC (Licensed Mental Health Counselor), PT (Physical Therapist), OT (Occupational Therapist), SLP (Speech-Language Pathologist), or RN (Registered Nurse).


    What You Will Do

    Clinical Documentation Review:

    • Evaluate and analyze medical records, treatment plans, and clinical documentation to ensure accuracy and compliance with established standards.
    • Collaborate with healthcare providers to gather additional information or clarification on documentation when necessary.

    Utilization Review:

    • Assess the appropriateness and necessity of healthcare services, ensuring they align with established guidelines and policies.
    • Identify and communicate potential issues related to overutilization or underutilization of services.

    Collaboration and Communication:

    • Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior Technicians, and other healthcare professionals to gather insights and ensure comprehensive reviews.
    • Communicate findings and recommendations clearly and effectively to internal teams and external stakeholders.

    Quality Improvement:

    • Participate in quality-improvement initiatives to enhance the overall efficiency and effectiveness of healthcare delivery.
    • Provide feedback and suggestions for process improvements based on review findings.

    Regulatory Compliance:

    • Stay informed on relevant healthcare regulations, guidelines, and accreditation standards.
    • Ensure compliance with all applicable laws and regulations in the utilization review process.

    Education/Experience and Other Requirements

    • Bachelor's degree in a healthcare-related field (Social Work, Mental Health Counseling, Physical Therapy, Occupational Therapy, Speech-Language Pathology, Nursing); Master's degree preferred.
    • Relevant clinical licensure or certification (e.g., BCBA, LSW, LMHC, PT, OT, SLP, RN).
    • Proven experience in utilization review or a related field with a strong understanding of healthcare service delivery and documentation processes is highly desirable.
    • Up-to-date knowledge of relevant healthcare regulations, guidelines, and accreditation standards.
    • Understanding of compliance requirements and the ability to ensure adherence during the utilization review process.
    • Must maintain clean background/drug screenings and driving record

    Expertise Needed

    • Familiarity with industry standards, guidelines, and best practices related to utilization review.
    • Ability to analyze complex clinical documentation, treatment plans, and medical records.
    • Strong critical thinking skills to assess the appropriateness and necessity of healthcare services.
    • Strong analytical and critical thinking skills.
    • Excellent communication and interpersonal skills.
    • Ability to work collaboratively in a team-oriented environment.

    Benefits

    • Three weeks of paid time off in first year (more added with tenure)
    • Medical, dental, vision, long-term disability, and life insurance
    • Flexible Spending Account (FSA) and Health Savings Account (HSA) options
    • Generous 401(k) with employer match up to 6%

    Exact Billing Solutions Culture

    Integrity. Dependability. Attention to detail. All our team members exhibit these qualities when it comes to doing business. And when it comes to the business of supporting a team, as a company, we offer no less to our team members. We’re a fast-paced, growing company delivering services that allow our clients to spend more time helping people. At the end of the day, it’s people, not numbers, that drive our success.

    Recruiter ID: #LI-JW1

  • 16 Days Ago

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FLOODPLAIN DEVELOPMENT REVIEW SPECIALIST OR TRAINEE
  • City of Fort Lauderdale
  • Fort Lauderdale, FL FULL_TIME
  • WANTED: Floodplain Development Review Specialist or Trainee!The Floodplain Development Review Specialist reviews building permit applications for compliance with 44 CFR, the City of Fort Lauderdale Fl...
  • 3 Days Ago

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Branch Wholesale Product Specialist Full-Time
  • Sherwin-Williams
  • Plantation, FL FULL_TIME
  • This position works closely with commercial paint customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Wholesale Product Speci...
  • 15 Days Ago

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Sub-Contractor Central Florida
  • Cable Wiring Specialist
  • Hollywood, FL CONTRACTOR
  • Cable Wiring Specialist, Inc. (CWSI), where safety meets excellence, provides a vast array of construction and engineering services to the Telecommunications industry. With a large workforce and fleet...
  • 23 Days Ago

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General Laborer
  • Cable Wiring Specialist
  • Hollywood, FL FULL_TIME
  • Cable Wiring Specialist, Inc. provides a large suite of construction and engineering services to the Telecommunications and Fiber Optic industry. With a large workforce located throughout Florida and ...
  • 6 Days Ago

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Fiber Splicer Technician
  • Cable Wiring Specialist
  • Hollywood, FL FULL_TIME
  • Cable Wiring Specialist, Inc. (CWSI) provides a large suite of construction and engineering services to the cable and Fiber Optic communications industry. With a large workforce and fleet located thro...
  • 26 Days Ago

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0 Branch Review Specialist jobs found in Hollywood, FL area

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Part Time Universal Banker - On Site
  • Citigroup, Inc.
  • Fort Lauderdale, FL
  • The Concierge is responsible for providing exceptional service delivery to our internal and external customers in coordi...
  • 3/28/2024 12:00:00 AM

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Credit & Collections Specialist
  • Team Horner
  • Fort Lauderdale, FL
  • Job Description Job Description Job description COMPANY: HornerXpress South FL REPORTS TO: Credit & Collections Manager ...
  • 3/27/2024 12:00:00 AM

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Loss Prevention Specialist
  • Restaurant Depot LLC
  • Fort Lauderdale, FL
  • Loss Prevention Specialist Duties & ResponsibilitiesThe Loss Prevention Specialist (LPS) is a key hourly associate posit...
  • 3/27/2024 12:00:00 AM

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Store Customer Service Specialist PT
  • Sherwin-Williams
  • Fort Lauderdale, FL
  • Job Description This is position is essential to the success of our retail stores. Customer Service Specialists work clo...
  • 3/27/2024 12:00:00 AM

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Portfolio Admin Sales Support Specialist
  • BrightStar Credit Union
  • Hollywood, FL
  • Job Description Job Description About BrightStar Credit Union, we are committed to creating a diverse work environment w...
  • 3/25/2024 12:00:00 AM

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Safety Products Sales Specialist
  • Colony Hardware Corporation
  • Hallandale, FL
  • Description With over 50 locations in 17 states, Colony Hardware is the leading distributor of Tools, Equipment, Fastene...
  • 3/25/2024 12:00:00 AM

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Strategic Marketing Specialist
  • Piusi
  • Fort Lauderdale, FL
  • Job Description Job Description We are seeking a Strategic Marketing Specialist to join our team! You will be responsibl...
  • 3/24/2024 12:00:00 AM

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Technical Assistant (Field Specialist Technical Assistant) (12 Month Roster)
  • Department Of The Treasury
  • Fort Lauderdale, FL
  • Duties WHAT IS THE LARGE BUSINESS INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at: htt...
  • 3/24/2024 12:00:00 AM

Hollywood is a city in Broward County, Florida, between Fort Lauderdale and Miami. The average temperature is between 68 and 83 °F (20 and 28 °C). As of July 1, 2017, Hollywood had a population of 153,627. Founded in 1925, the city grew rapidly in the 1950s and 1960s, and is now the twelfth-largest city in Florida. Hollywood is a principal city of the Miami metropolitan area, which was home to an estimated 6,012,331 people at the 2015 census. Hollywood is located at 26°1′17″N 80°10′30″W / 26.02139°N 80.17500°W / 26.02139; -80.17500 (26.021467, -80.174910). According to the United States Cen...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Branch Review Specialist jobs
$48,512 to $63,081
Hollywood, Florida area prices
were up 2.9% 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