Utilization Review Specialist

Utilization Review Specialist – Exact Billing Solutions (EBS)

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 care 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.

EBS, owned by ICBD, a single-family office, is poised for exponential growth, and we are building out our teams to support the expansion of global operations.

ABOUT ICBD

Headquartered in Fort Lauderdale, Florida, ICBD is a robust single-family office focused on private investment and business development, supporting exceptional companies in healthcare, technology, and beyond. The organization champions entrepreneurial ingenuity, service, and action at the forefront of healthcare innovation. ICBD is tearing down barriers to care and opening doors to new possibilities.

ICBD is self-funded, committed to sustainable growth, and committed to sustainable growth, and led by visionary thought leaders—including our CEO and Founder, the 2024 Ernst & Young U.S. Entrepreneur Of The Year® National Overall Award winner.

ICBD’s most visible success (and EBS’s largest client) is ABA Centers, a revolutionary leader in autism care and diagnostics, ranked #5 on the 2024 Inc. 5000 list of fastest-growing private companies in the U.S.

The ICBD portfolio includes these dynamic organizations united by strategic vision, operational expertise, and unwavering commitment to excellence :

• ABA Centers – The leading provider of autism care in the U.S., with 13 regional brands and 70+ operating areas.
• GateHouse Treatment – A comprehensive network of substance use disorder programs that address the full spectrum of recovery needs from medical treatment to supportive housing and respite services.
• Marquis MD – A concierge medicine concept redefining healthcare by prioritizing convenience, connection, and care powered by advanced technology.
• Exact Billing Solutions – Innovative revenue cycle management and advanced billing support systems for healthcare providers.
• Curative AI – A next-generation platform using AI to disrupt and transform the healthcare system by providing new solutions for revenue cycle management, scheduling, medical documentation, clinical and diagnostic support, and more.

Recognition & Awards

ICBD’s commitment to operational excellence, ethical leadership, and transformative care has earned national and international recognition across industries. ICBD companies and leadership have been honored with multiple awards, including :

Requirements

About the Role

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.

The principal functions of the position identified shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Key Responsibilities

The following are duties and responsibilities that the Utilization Review Specialist shall provide :

Clinical Documentation Review :

Utilization Review :

Collaboration and Communication :

Quality Improvement :

Regulatory Compliance :

Qualifications

The Utilization Review Specialist requires a minimum of a(n) :

Expertise Needed

Benefits

Exact Billing Solutions (EBS) 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.

Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.