Branch Review Specialist jobs in Trenton, NJ

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
  • Oaks Integrated Care
  • Mount Holly, NJ FULL_TIME
  • Join our team today and immerse yourself in a rewarding career for years to come!

    As the Utilization Review Specialist, you will work in an office based setting with positions located throughout Southern New Jersey.

    Responsibilities:

    • Requesting and obtaining prior authorizations for treatment services from entities including, but not limited to, Medicaid, Managed Care Organizations, NJSAMS, Commercial Insurance, EAP, etc..
    • Facilitating prior authorization requests and concurrent reviews with all payer sources for clients enrolled in services that require authorizations for care.
    • Managing and tracking prior authorization approvals and requests for all clients enrolled and ensuring prior authorization/approval for services are obtained in a timely manner from payer sources to ensure no gaps in care or coverage.
    • Coordinating with program leadership and staff to ensure clinical documentation (Progress notes, Treatment Plans, etc..) is completed timely and contains sufficient clinical content for prior authorization services.
    • Engaging in Continued Stay Reviews with program leadership and staff to determine justification for continuation of care.
    • Coordinating with Accounts Receivable and Program Leadership to manage and track all outgoing requests and receipts of authorizations as well as managing pending requests.
    • Verifying insurance coverage for enrolled clients and coordinating with program leadership and AR to ensure there is a source of payment for all clients receiving care.
    • Facilitating Presumptive eligibility process for eligible clients.
    • Other duties as assigned.

    Benefits:

    • Competitive salary
    • Supplemental income
    • Medical, Dental, Vision, 403(b)
    • Generous paid time off benefits
    • Opportunity for personal and career growth
    • Team oriented environment – we practice the FISH! Philosophy

    Qualifications:


    • Bachelor's Degree required in psychology/human services/nursing/healthcare or related field; Master's Degree Preferred in Behavioral Health/HealthCare or related field; OR LPN or RN
    • Minimum 2 years of relevant experience in a behavioral health or healthcare setting.
    • Knowledgeable about behavioral health services including ambulatory services such as Outpatient, Partial Care, and Addictions treatment.
    • Knowledgeable about healthcare claims and processing including prior authorizations, CPT codes, MCOs, Medicaid, etc..
    • Proficient in use of technology, various applications including Microsoft Office (including Excel), Electronic Health Records, and other data bases such as NJSAMs and Navinet.
    • Strong skills related to clinical documentation
    • Strong organizational and time management skills
    • Excellent written and verbal communication, as well as interpersonal skills.
    • Valid driver’s license in good standing required.


    All positions require a valid driver’s license in good standing, and pre-employment drug screening. All candidates, if hired, will be expected to cooperate with Oaks Integrated Care and The Department of Human Services in all inspections and investigations. Oaks Integrated Care considers applicants for all positions without regard to: race; color; religion; sex; national origin; age; sexual orientation; marital or veteran status; the presence of a medical condition, genetic information or handicap, unrelated to performing the tasks of the job; or any other legally protected status.

  • 11 Days Ago

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Utilization Review Specialist
  • ENABLE INC
  • Princeton, NJ OTHER
  • Job Details Level: Entry Job Location: Headquarters - Princeton, NJ Salary Range: Undisclosed About EnableEnable provides services, resources and support for adults with intellectual, developmental an...
  • 17 Days Ago

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UTILIZATION REVIEW COORDINATOR
  • UHS
  • WESTAMPTON, NJ FULL_TIME
  • Responsibilities Hampton Behavioral Health Center is a private behavioral healthcare center and offers the most advanced behavioral health, diagnostic treatment services for adults, adolescents, and o...
  • 2 Days Ago

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Utilization Review Tech III
  • Lower Bucks Hospital
  • Bristol, PA FULL_TIME
  • Overview: Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Lower Bucks Hospital, a member of Prime Healthcare, offers incredible...
  • 2 Days Ago

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Municipal Review Engineer
  • Traffic Planning & Design Career Center
  • Bensalem, PA FULL_TIME
  • Ranked the overall #4 Best Civil Engineering Firm to Work for in the Nation (#1 in our size category) and residing on the list of the Engineering News Record (ENR)’s Top 500 Design Firms in the nation...
  • 20 Days Ago

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Medical Review Analyst
  • New Jersey Office of the State Comptroller
  • Trenton, NJ FULL_TIME
  • Medical Review Analyst Third Party Liability (TPL) Unit, Medicaid Fraud Division Salary: $75,386.19 - $107,247.18 Eligible for remote work 2 days per week The New Jersey Office of the State Comptrolle...
  • 24 Days Ago

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0 Branch Review Specialist jobs found in Trenton, NJ area

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Quotations Specialist - Switchgear
  • Billows Electric Supply
  • Riverside, NJ
  • Quotations Specialist - Switchgear Job Details Job Location 90 - Delran, NJ Position Type Full Time Description Billows ...
  • 3/18/2024 12:00:00 AM

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Business Development Specialist- Industrial Staffing ( Remote)
  • CloudRay Inc
  • Hightstown, NJ
  • CloudRay, Inc and its sister company Genie Healthcare, based in East Windsor, NJ, are well-established staffing and recr...
  • 3/16/2024 12:00:00 AM

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Bilingual Customer Service Specialist (Spanish)
  • Sherwin-Williams
  • Trenton, NJ
  • Job Description Customer Service Specialists work closely with wholesale and retail customers to determine their needs, ...
  • 3/15/2024 12:00:00 AM

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Senior Universal Banker
  • Provident Bank
  • Newtown, PA
  • How would you like to join one of the most highly regarded community-focused financial institutions in the Tri-State are...
  • 3/15/2024 12:00:00 AM

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Customer Relations Coordinator
  • Rollins, Inc.
  • Bensalem, PA
  • ** Customer Relations Coordinator** **Job Category****:** Customer Service **Requisition Number****:** CUSTO024523 Showi...
  • 3/15/2024 12:00:00 AM

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Bilingual Customer Service Specialist (Spanish)
  • Sherwin-Williams
  • Doylestown, PA
  • Job Description Customer Service Specialists work closely with wholesale and retail customers to determine their needs, ...
  • 3/15/2024 12:00:00 AM

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Automotive Technical Service Representative Development Program
  • Sherwin-Williams
  • Bryn Athyn, PA
  • The program will include the following experiences: Build acumen around the SW business, segments, customers, and go-to-...
  • 3/8/2024 12:00:00 AM

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Bilingual Customer Service Specialist (Spanish)
  • Sherwin-Williams
  • Trenton, NJ
  • Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their que...
  • 2/1/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 8.155 square miles (21.122 km2), including 7.648 square miles (19.809 km2) of land and 0.507 square mile (1.313 km2) of water (6.21%). Several bridges across the Delaware River – the Trenton–Morrisville Toll Bridge, Lower Trenton Bridge and Calhoun Street Bridge – connect Trenton to Morrisville, Pennsylvania, all of which are operated by the Delaware River Joint Toll Bridge Commission. Trenton is located near the exact geographic center of the state, which is 5 miles (8.0 km) located southeast of Trenton. The city is so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Branch Review Specialist jobs
$54,488 to $70,851
Trenton, New Jersey area prices
were up 1.5% 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.
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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