Current jobs related to Utilization Review Specialist - Toronto, Ontario - Embark Behavioral Health
-
Utilization Review Specialist
3 weeks ago
Toronto, Ontario, Canada Embark Behavioral Health Full timeOverviewUtilization Review SpecialistJob SummaryThe Utilization Review Specialist will serve as a liaison between the Utilization Review Department and stakeholders of Embark Behavioral Health. The primary responsibility will be to ensure seamless insurance authorizations, communicate with stakeholders regarding the insurance process, and submit medical...
-
Drug Utilization Review Specialist
1 month ago
Toronto, Ontario, Canada destinationone Consulting Full timeJob Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient...
-
Drug Utilization Review Specialist
1 month ago
Toronto, Ontario, Canada destinationone Consulting Full timeJob Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient...
-
Drug Utilization Review Specialist
1 month ago
Toronto, Ontario, Canada destinationone Consulting Full timeJob Title: Drug Utilization Review SpecialistDestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, HealthTech, Government, Municipalities, NonProfits, Legal, and Public Accounting. We are building a comprehensive database of job opportunities in these fields.Job SummaryThe Drug Utilization Review...
-
Drug Utilization Review Specialist
1 month ago
Toronto, Ontario, Canada destinationone Consulting Full timeJob Title: Drug Utilization Review SpecialistDestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, HealthTech, Government, Municipalities, NonProfits, Legal, and Public Accounting. We are building a comprehensive database of job opportunities in these fields.Job SummaryThe Drug Utilization Review...
-
Drug Utilization Review Specialist
1 month ago
Toronto, Ontario, Canada destinationone Consulting Full timeJob Title: Drug Utilization Review SpecialistDestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, HealthTech, Government, Municipalities, NonProfits, Legal, and Public Accounting. We are building a comprehensive database of job opportunities in these fields.Job SummaryThe Drug Utilization Review...
-
Drug Utilization Review Specialist
1 month ago
Toronto, Ontario, Canada destinationone Consulting Full timeJob Title: Drug Utilization Review SpecialistDestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, HealthTech, Government, Municipalities, NonProfits, Legal, and Public Accounting. We are building a comprehensive database of job opportunities in these fields.Job SummaryThe Drug Utilization Review...
-
Utilization Review Specialist
5 days ago
Toronto, Ontario, Canada Embark Behavioral Health Full timeOverviewEmbark Behavioral Health is seeking a highly skilled Utilization Review Clerk to join our team. As a Utilization Review Clerk, you will play a critical role in ensuring the efficient processing of insurance claims and authorizations, while maintaining compliance with federal and state regulations.ResponsibilitiesWork closely with the Utilization...
-
Utilization Review Specialist
2 weeks ago
Toronto, Ontario, Canada Embark Behavioral Health Full timeOverviewUtilization Review RepresentativePay: $20-$22 per hourAt Embark Behavioral Health, we are seeking a skilled Utilization Review Representative to serve as a liaison between our Utilization Review Department and stakeholders. The primary responsibility of this role is to ensure seamless communication and coordination with insurance companies,...
-
Utilization Review Specialist
1 month ago
Toronto, Ontario, Canada Embark Behavioral Health Full timeOverviewEmbark Behavioral Health is seeking a highly skilled Utilization Review Clerk to join our team. As a Utilization Review Clerk, you will play a critical role in ensuring that our clients receive the necessary authorizations and documentation to access our services.ResponsibilitiesWork closely with the Utilization Review Supervisor to achieve...
-
Utilization Review Specialist
1 month ago
Toronto, Ontario, Canada Embark Behavioral Health Full timeOverviewEmbark Behavioral Health is seeking a highly skilled Utilization Review Clerk to join our team. As a Utilization Review Clerk, you will play a critical role in ensuring that our clients receive the necessary authorizations and documentation to access our services.ResponsibilitiesWork closely with the Utilization Review Supervisor to achieve...
-
Project Manager
2 weeks ago
Toronto, Ontario, Canada Metrolinx Full timeMetrolinx is a leading transportation agency in the Greater Golden Horseshoe region, connecting communities through its various services, including GO Transit, UP Express, and PRESTO fare payment system. As a Project Manager - Utilities Infrastructure Specialist, you will play a crucial role in managing assigned projects of high value and complexity in the...
-
Clinical Utilization Specialist RN
2 weeks ago
Toronto, Ontario, Canada HealthEcareers - Client Full timeJob Summary: As a Clinical Utilization Specialist RN with HealthEcareers - Client, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. You will make recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for inpatient...
-
Senior Site Inspector
2 weeks ago
Toronto, Ontario, Canada AtkinsRéalis Full timeJob Title: Senior Site Inspector - Electrical Utilities SpecialistJob Summary:We are seeking a highly experienced Senior Site Inspector - Electrical Utilities Specialist to join our team. The successful candidate will be responsible for inspecting and verifying electrical utilities construction performed by contractors, ensuring compliance with project...
-
Project Manager
2 weeks ago
Toronto, Ontario, Canada Metrolinx Full timeMetrolinx is a leading transportation agency in the Greater Golden Horseshoe region, connecting communities through its various services, including GO Transit, UP Express, and PRESTO fare payment system. We are committed to building a better, faster, and easier transportation system for the people of Ontario.Our Pre-construction Services - Utilities (GO...
-
Project Manager Utilities
4 weeks ago
Toronto, Ontario, Canada Metrolinx Full timeAbout the RoleMetrolinx is seeking a skilled Project Manager to join our Utilities team. As a Project Manager, you will be responsible for managing assigned projects of high value and complexity in the provision and administration of utility services for capital infrastructure projects.Key ResponsibilitiesProvide specialist advice as a Subject Matter Expert...
-
Project Manager Utilities
4 weeks ago
Toronto, Ontario, Canada Metrolinx Full timeAbout the RoleMetrolinx is seeking a skilled Project Manager to join our Utilities team. As a Project Manager, you will be responsible for managing assigned projects of high value and complexity in the provision and administration of utility services for capital infrastructure projects.Key ResponsibilitiesProvide specialist advice as a Subject Matter Expert...
-
Project Manager Utilities
1 month ago
Toronto, Ontario, Canada Metrolinx Full timeJob Title: Project Manager UtilitiesMetrolinx is a leading transportation agency in the Greater Golden Horseshoe region, connecting communities through its various services, including GO Transit, UP Express, and PRESTO fare payment system. We are committed to building a better, faster, and easier transportation system for the people of Ontario.Job Summary:We...
-
Project Manager Utilities
1 month ago
Toronto, Ontario, Canada Metrolinx Full timeJob Title: Project Manager UtilitiesMetrolinx is a leading transportation agency in the Greater Golden Horseshoe region, connecting communities through its various services, including GO Transit, UP Express, and PRESTO fare payment system. We are committed to building a better, faster, and easier transportation system for the people of Ontario.Job Summary:We...
-
Contract Review Specialist
4 weeks ago
Toronto, Ontario, Canada Aon Full timeEarly Careers: Intern, Client Information ManagementAon is seeking a highly motivated and detail-oriented individual to join our Client Information Management (CIM) team as an Early Careers Intern. This is a hybrid position located in Canada, and we are looking for someone who is eager to learn about the dynamic needs of employers in the post-Covid era and...
Utilization Review Specialist
2 months ago
Job Summary:
We are seeking a detail-oriented and organized Utilization Review Specialist to join our team at Embark Behavioral Health. As a key member of our Utilization Review Department, you will be responsible for ensuring timely insurance authorizations, effective communication with clients and providers, and maintaining documentation standards.
Key Responsibilities:
- Collaborate with the Utilization Review Supervisor to achieve department objectives and drive process improvements
- Ensure clients receive necessary certifications for services and maintain accurate documentation
- Communicate effectively with clients, providers, and billing department to resolve issues and address concerns
- Monitor documentation requirements and recommend process enhancements to improve efficiency and quality
- Assist in education for treatment team providers on documentation standards and best practices
- Interface with managed care organizations and payors to resolve authorization and payment issues
- Complete pre-authorizations and retrospective review requests in a timely and accurate manner
- Manage medical records requests and other assigned duties to ensure seamless operations
Requirements:
- Previous customer service experience and knowledge of insurance utilization review and medical terminology
- Strong communication and negotiation skills to effectively interact with clients, providers, and payors
- Ability to maintain confidentiality and adhere to HIPAA guidelines to protect sensitive client information
- Proficiency in Windows-based applications and MS Excel to manage data and reports
Benefits:
- Comprehensive Benefits Program including medical, dental, and vision insurance to support your well-being
- 401K with company matching and paid maternal leave to promote work-life balance
- Company Paid Holidays and PTO accrual schedule to ensure time off for relaxation and rejuvenation
