Utilization & Reimbursement Specialist
Acadia Healthcare
Harboroaks is seeking a qualified professional to proactively monitor service utilization to optimize reimbursement for the facility. The role requires clinical experience and focus on ensuring medical necessity through reviews and appeals.
Responsibilities include coordinating with managed care organizations, monitoring length of stay, preparing utilization data, and guiding staff on documentation and pre-certifications. Strong knowledge of utilization management is preferred.
#J-18808-Ljbffr- ...Overview PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct...ReimbursementWork at officeLocal area
- ...Harboroaks in Riverdale, Georgia, is seeking a dedicated professional to monitor patient services and optimize reimbursement for the facility. The role involves acting as a liaison between managed care organizations and clinical staff, reviewing insurance plans, and ensuring...Reimbursement
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