Document Review Specialist Job at Robert Half (La Jolla)

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Document Review Specialist

Our client is seeking a detail-oriented Document Review Specialist for a contrac...

Location

United States , San Diego

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1+ years of document review, data entry, administrative, clerical, or back-office support experience
Strong attention to detail and commitment to accuracy
Ability to manage repetitive tasks while maintaining consistency and focus
Proficiency in Microsoft Office Suite, including Word, Excel, and Outlook
Strong organizational and time management skills
Ability to work independently and as part of a team
Professionalism, reliability, and a desire to learn and grow within the company

Job Responsibility

Review, organize, and process documents for accuracy, completeness, and compliance
Identify discrepancies, missing information, or inconsistencies and escalate as needed
Maintain and update records in internal systems and databases
Perform quality checks to ensure data and document integrity
Scan, file, index, and retrieve electronic and paper documents
Support back-office operations with administrative and clerical tasks
Track document status and ensure timely processing according to established procedures
Communicate with internal departments regarding document corrections or follow-up needs
Maintain confidentiality of sensitive and proprietary information

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan

Document Review Specialist

We are looking for a detail-oriented Document Review Specialist to support docum...

Location

United States , Fort Lauderdale

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience working in document control, records management, or a similar document-focused administrative environment
Practical ability to scan, organize, and compile large volumes of documentation with a high degree of accuracy
Strong attention to detail with the ability to detect discrepancies, omissions, and filing errors
Proficiency using office technology and digital filing systems to manage electronic and paper records
Ability to handle repetitive tasks efficiently while maintaining quality and meeting deadlines
Strong organizational skills and the ability to manage multiple document workflows at the same time
Clear written and verbal communication skills for coordinating document issues and status updates

Job Responsibility

Review incoming files for completeness, accuracy, and proper formatting before they are entered into document systems
Scan paper records and convert physical materials into organized digital files with clear indexing and naming conventions
Compile documents from multiple sources to create complete, traceable record sets for internal use
Maintain document control standards by sorting, categorizing, and filing records in accordance with established procedures
Identify missing, inconsistent, or unclear information and escalate issues to the appropriate team members for resolution
Support record retrieval requests by locating and preparing documents quickly and accurately
Perform routine quality checks to confirm scanned images and stored files are legible, complete, and correctly associated
Assist with updates to document repositories, including transferring or reorganizing files when process changes require it

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Claims Review Specialist

We're seeking a detail-oriented professional who can support the coordination an...

Location

United States , Tempe

Salary:

20.00 - 30.00 USD / Hour

Personify Health

Expiration Date

Until further notice

Requirements

High school diploma or general education degree (GED) required
Minimum 3 years related experience and/or training, or equivalent combination of education and experience
Completion of training programs through HIPAA, ICA and/or LOMA, and continuing education courses relative to Stop Loss preferred
Knowledge of medical terminology, CPT, HCPCS, and ICD-10 codes
Computer literacy with proficiency in Windows and Microsoft Office environment (Word, Excel, Outlook)
Knowledge of insurance database systems preferred
Experience with EDOCS platform or similar documentation management systems
Detail-oriented, analytical, financially minded approach to Stop Loss coordination
Ability to read, analyze, and interpret common financial reports and legal documents
Capability to work with mathematical concepts such as probability and statistical inference

Job Responsibility

Prepare Stop Loss submissions: Analyze Stop Loss claims and applicable documents to determine filing eligibility under Excess Loss Policy while processing all submissions within established timeframes
Coordinate funding requests: Manage Advanced Funding Requests with clients and Stop Loss carriers while maintaining comprehensive database of all specific reimbursement requests
Manage documentation systems: Create initial Specific File for each claimant and file all submissions in EDOCS platform while coordinating release of Over Specific, System Hold claims
Serve as liaison: Act as connection point between PBMs and internal clients for Stop Loss claimants while maintaining professional communication with all stakeholders
Monitor reimbursements: Track all reinsurance requests to ensure receipt of reimbursement while generating weekly outstanding reimbursement reports and following up with carriers
Support plan year activities: Assist with Plan Year End Closeouts while keeping immediate supervisor apprised of open or disputed items requiring attention
Maintain workflow excellence: Contribute to daily workflow with regular, punctual attendance while performing related or assigned duties as required

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Unlimited PTO
Mental health support
Retirement planning
Financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture

Fulltime

Utilization Review Specialist - PRN

San Jose Behavioral Health is currently seeking a Utilization Review Specialist ...

Location

United States , San Jose

Salary:

33.00 - 60.00 USD / Hour

Acadia Healthcare

Expiration Date

Until further notice

Requirements

Associate Degree in Nursing(LPN/LVN/RN) Required
Two or more year's experience with the population of the facility preferred
Previous experience in utilization management is preferred
LMFT, LMSW, LCSW, LPC, LPC-Iwithin the state where the facility provides services
or current clinical professional license or certification, as required, within the state where the facility provides services
CPR and de-escalation and restraint certification required (training available upon hire and offered by facility)
Bachelors or Masters degree in Social Work, Behavioral Health Or Mental Health, Nursing or Other related health field preferred

Job Responsibility

Coordinate and assess the inpatient census for appropriate alternate health care service needs
Perform on-site and/or telephonic concurrent review of acute and sub-acute services, as well as pre-certification review for all services following the plans authorization guidelines
Coordinate with appropriate discharge planning processes, providing feedback on documentation processes
Function as a resource to the clinical team regarding approved criteria, practice guidelines and alternative treatment options
Act as liaison between managed care organizations and the facility professional clinical staff
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements
Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay
Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office
Conduct quality reviews for medical necessity and services provided
Facilitate peer review calls between facility and external organizations

Title Clerk - Document Specialist

Location

United States , New Braunfels

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of experience in title, document control, records administration, or a related field
Working knowledge of title searches, title review, title clearing activities, and preliminary title documentation
Ability to recognize common business formation records, company agreements, and property acquisition documents
Experience handling both physical files and scanned digital records with strong attention to detail
Strong organizational skills with the ability to manage multiple files and follow up on missing documentation
Comfortable working with external parties to request records or coordinate document retrieval
Proficiency in document scanning, indexing, and maintaining structured filing systems

Job Responsibility

Review hard copy and electronic files tied to multiple business entities and property matters, then create a clear inventory of available records and their status
Assess document packages for accuracy and completeness by recognizing key legal, corporate, and acquisition-related paperwork that should be present
Investigate missing items within each file and coordinate efforts to obtain replacement copies from outside sources such as title companies or other record holders
Support the preparation of needed documentation by helping initiate requests for drafting, execution, or third-party assistance when records cannot be located
Assemble finalized files into a consistent and well-structured format for both paper storage and digital access
Scan, label, and sort documentation to improve retrieval, tracking, and overall file organization
Examine title-related materials and preliminary reports to help confirm that supporting records align with transaction needs
Maintain accurate documentation logs and communicate progress, outstanding items, and file deficiencies to the appropriate stakeholders

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Title Clerk - Document Specialist

Our client is looking for a detail-oriented Title Clerk - Document Specialist to...

Location

United States , San Antonio

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of experience in title, document control, records administration, or a related field
Working knowledge of title searches, title review, title clearing activities, and preliminary title documentation
Ability to recognize common business formation records, company agreements, and property acquisition documents
Experience handling both physical files and scanned digital records with strong attention to detail
Strong organizational skills with the ability to manage multiple files and follow up on missing documentation
Comfortable working with external parties to request records or coordinate document retrieval
Proficiency in document scanning, indexing, and maintaining structured filing systems

Job Responsibility

Review hard copy and electronic files tied to multiple business entities and property matters, then create a clear inventory of available records and their status
Assess document packages for accuracy and completeness by recognizing key legal, corporate, and acquisition-related paperwork that should be present
Investigate missing items within each file and coordinate efforts to obtain replacement copies from outside sources such as title companies or other record holders
Support the preparation of needed documentation by helping initiate requests for drafting, execution, or third-party assistance when records cannot be located
Assemble finalized files into a consistent and well-structured format for both paper storage and digital access
Scan, label, and sort documentation to improve retrieval, tracking, and overall file organization
Examine title-related materials and preliminary reports to help confirm that supporting records align with transaction needs
Maintain accurate documentation logs and communicate progress, outstanding items, and file deficiencies to the appropriate stakeholders

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Medical Coding Reimbursement Review Specialist

We are seeking an experienced and detail-oriented Medical Coding Reimbursement R...

Location

United States

Salary:

21.42 USD / Hour

MMC Group LP

Expiration Date

Until further notice

Requirements

Certified Medical Coder certification required through recognized organizations such as AAPC or AHIMA
CPC (Certified Professional Coder) preferred
CCS (Certified Coding Specialist) preferred
Strong inpatient coding experience required
3-5 years of medical coding and reimbursement review experience preferred
Experience with CPT codes, ICD-10-CM, and HCPCS coding systems required
Strong understanding of CPT modifiers and reimbursement impact required
Experience with retrospective coding reviews required
IDRE experience required
Must be able to explain the IDR process during the interview

Job Responsibility

Perform retrospective payment reimbursement reviews with a strong focus on inpatient coding
Analyze CPT codes, modifiers, and claim interactions to ensure accurate reimbursement determinations
Review and interpret Explanations of Benefits (EOBs), including recoupments, corrections, denials, and claim adjustments
Evaluate how CPT modifiers impact reimbursement and payment outcomes
Conduct coding reviews across multiple provider specialties with broad CPT code knowledge
Review medical claims for compliance with coding standards and reimbursement guidelines
Prepare clear, accurate, and final binding payment determination letters for clients and disputing parties
Support Independent Dispute Resolution (IDR) cases and demonstrate knowledge of the full IDR process
Maintain compliance with billing regulations, coding standards, and applicable healthcare laws
Manage multiple priorities effectively while meeting strict deadlines in a high-volume environment

What we offer

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

Fulltime

Senior Batch Record Review Specialist

You will lead batch record review activities to Release product that is manufact...

Location

United States , Zebulon

Salary:

Not provided

GSK

Expiration Date

Until further notice

Requirements

High School Diploma plus 4 years relevant experience in the pharmaceutical industry, with a production or quality background. -or- Associates degree plus 2 years relevant experience in the pharmaceutical
3+ years experience in batch record review, quality assurance, or operations within a regulated life sciences environment
Practical knowledge of Good Manufacturing Practices (GMP) and Good Documentation Practices (GDP)
Experience reviewing production, laboratory, and control records for compliance
Experience with quality systems such as deviations, CAPA, change control, and lot release

Job Responsibility

Primarily responsible for review, release, and second check of batch record documentation for compliance to cGMPs, SOPs, and internal and regulatory requirements
Coordinates investigations associated with production deviations, as needed
Closes Planned Notifications, as needed
Assists with issues of NRFT for batch documents
Provides quality guidance to production operations, completes work order assessments, and completes atypical comments
Communicates effectively with team members, escalates issues to production and quality team/lead, and provides on-call support, as needed
Supports self-inspections, internal audits and regulatory inspections
Supports Problem Solving/Root Cause Analysis to identify Root Causes and appropriate CAPAs for identified problems
Supports OQ training
Provides end user support for GMP related documentation corrections

What we offer

Competitive base salary
Annual bonus based on company performance
Flexible working options available for most roles
Learning and career development
Access to healthcare & wellbeing programmes
Employee recognition programmes
Onsite cafeteria
Onsite gym
Temperature-controlled climate
Licensed, onsite Health & Wellness clinic

Fulltime

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