Utilization & Reimbursement Specialist
Acadia Healthcare
Acadia Healthcare seeks a qualified professional to monitor service utilization and support reimbursement efforts across the facility. The role liaises with managed care organizations and clinical staff to ensure accurate pre-certifications and compliance with medical necessity criteria. You will review plans, track length of stay, and compile data for reporting on utilization and quality of care, while supporting staff through documentation updates and appeals processes. #J-18808-Ljbffr Acadia Healthcare
- ...Acadia Healthcare seeks a qualified professional to monitor service utilization and support reimbursement efforts across the facility. The role liaises with managed care organizations and clinical staff to ensure accurate pre-certifications and compliance with medical...Reimbursement
- ...Purpose Statement Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Purpose Statement Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Essential Functions Act as liaison...ReimbursementWork at officeLocal area
- ...Accounts Receivable Specialist The Accounts Receivable Specialist is responsible for researching outstanding balances and determining correct action to be taken to ensure maximum reimbursement. Must take the lead on corrective actions for accounts with outstanding balances...ReimbursementWork at officeWork from home
- ...Billing SpecialistThe Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing Specialist... ...monitor all steps in the billing processes to ensure maximum reimbursement from patients, government and commercial payers as well as...ReimbursementWork at officeWork from home
$46.93k
...Nutrition Specialist Qualifications: REGISTERED DIETICIAN with current American Dietetic Association Registration and /... ...for prescription drugs; coverage begins after 60 days; Health Reimbursement Account with LCHS paying 1/2 of deductible. RETIREMENT...ReimbursementFull timeImmediate startRelocation packageFlexible hours- ...Full-time Description POSITION SUMMARY The Billing Specialist is responsible for all aspects of billing inpatient and outpatient... ...monitor all steps in the billing processes to ensure maximum reimbursement from patients, government and commercial payers as well as...ReimbursementFull timeWork at officeWork from home
- ..., Pennsylvania 18702 United States of America Pre-Inspection Specialist Ready to rev up your career? Are you perceptive, knowledgeable... ..., vacation, and sick days, if eligible Career stability Gym Reimbursement Program, if eligible Opportunities for advancement Valuable on...ReimbursementLocal area
- ...patient identification, and all pertinent documentation including regulatory forms accurately. Secures signatures to ensure timely reimbursement, which includes consents signed specific to service(s) being rendered. Determines and collects patient financial liability and...ReimbursementWork at officeLocal areaShift workNight shiftAfternoon shift
$18 - $26 per hour
...Member Specialist Sam's Club #8191 441 Wilkes Barre Township Blvd Wilkes Barre, PA 18702-6603 R-2636201 $18.00 - $26.00/hr* Part... ...discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. Live Better U is a company paid education benefit...ReimbursementHourly payMinimum wageFull timeTemporary workPart timeShift work- ...Valley Health System is hiring a Registered Nurse to lead discharge planning and utilization management efforts. You will work to ensure safe, individualized discharge and optimize reimbursement through proactive collaboration with patients, families, and the healthcare...Reimbursement
- ...Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The...ReimbursementHourly payMinimum wageFull timeTemporary workPart timeShift workWeekend workAfternoon shift
$18 - $26 per hour
...improve the shopping experience, and elevate associate engagement; utilizing hand‑held technology to make immediate business decisions... ..., Military Leave Pay, adoption and surrogacy expense reimbursement, and more. Live Better U is a company‑paid education benefit...ReimbursementHourly payMinimum wageFull timeTemporary workPart timeImmediate startFlexible hours- ...and situational awareness at the tactical levels of combat. As a Fire Control Specialist, your primary responsibility will be to integrate and process information from multiple users by utilizing the JOINT system and other automated systems used by the Army National Guard...Part timeWeekend work
$20 - $28 per hour
...managing inventory flow following company policy and procedures for utilizing equipment appropriately merchandising working inventory... ..., Military Leave Pay, adoption and surrogacy expense reimbursement, and more. Live Better U is a company paid education benefit...ReimbursementHourly payMinimum wageFull timeTemporary workPart timeSeasonal workShift work$50k - $55k
...driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. Clinical Specialist /Behavior Consultant $50,000-$55,000/yrly based on experience Pittston, PA located in Luzerne County in the Northeastern...Full timeWork at officeLocal areaImmediate start- ...SpecialistLocation: Wilkes-Barre, PAPosition Purpose:The Asset Protection Specialist is primarily responsible for preventing financial loss caused... ...compliance in their assigned store/multiple stores. They utilize tools to minimize loss to the Company, including but not...
$21 - $24 per hour
...a place – it’s the center of health, care coordination, and Meaningful Moments that transform lives. We’re seeking a Recruiting Specialist who is passionate about making a difference and driving impact. This role offers an opportunity to contribute to meaningful work...Weekly payMonday to FridayFlexible hours- ...Community Employment Specialist Step by Step, Inc is seeking an applicant that has the ability to creatively and independently assist... ...and tracks potential employers for the job seeker. 3. Utilizes a marketing approach to develop job opportunities. 4. Completes...Work at officeLocal area
- ...ABOUT THIS JOB ***THIS POSITION REQUIRES AN ENLISTMENT IN THE U.S. ARMY OR ARMY RESERVE*** As an Information Technology Specialist, you'll manage, maintain, process, and troubleshoot military computer systems and operations. You'll deal with highly sensitive information...Full timePart timeImmediate startRelocation package
- Job DetailsJob Location: Pittston - Pittston, PA 18640Salary Range: $42,500.00 - $42,500.00 Responsibilities Manage assigned caseload of staff and clients. Leading assigned caseload, including assisting in scheduling, recruiting, hiring, and supervising assigned caseload...Flexible hoursShift work
- ...to work for a company that truly values its people. Safety Specialist - Mechanical Construction Wilkes Barre, PA | Full-time | Monday... ..., medical gas systems, and mechanical infrastructure and utility installation. The Safety Specialist will work closely with...Full timeContract workTemporary workPart timeWork at officeMonday to Friday
- ...Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The...ReimbursementHourly payMinimum wageFull timeTemporary workPart timeSummer workShift work
$15 - $28 per hour
...Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The...ReimbursementHourly payMinimum wageFull timeTemporary workPart timeShift workWeekend workAfternoon shift$63 per hour
...ability to identify subtle changes in patient condition Utilize your experience with acute and post-acute care (e.g., CHF,... ...Paid Time Off: PTO (paid time off) and paid holidays Reimbursements: Mileage reimbursement or schedule-specific benefits Life...ReimbursementWeekly payFull timeWork at officeLocal areaImmediate startFlexible hoursNight shift$1,778 per week
...and behavioral disorders. Maintain a safe environment by utilizing restraint methods when necessary. Document patient interactions... ...based on your location and specialty ~ Extras: Travel reimbursement, housing allowance, meals, referral bonuses, and more We...ReimbursementDaily paidLong term contractPermanent employmentFull timeContract workTemporary workFor contractorsZero hours contractWork at officeLocal areaShift workNight shiftWeekend work$17 - $25 per hour
...while following Company procedures, guidelines, and methods, and utilizing approved chemicals, supplies, tools, and equipment.... ...discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. Live Better U is a company paid education benefit...ReimbursementHourly payMinimum wageFull timeTemporary workPart timeShift work- ...healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits. These goals can be achieved through proactive collaboration with...ReimbursementFull timeLocal area
- ...health and behavioral disorders.Maintain a safe environment by utilizing restraint methods when necessary.Document patient... ...recruiter based on your location and specialtyExtras: Travel reimbursement, housing allowance, meals, referral bonuses, and moreWe're not...ReimbursementContract workLocal areaNight shiftWeekend work
- ...responsibility. Manages Controllables and Restaurant Compliance: Utilizes learning to identify trends in performance and probes the... ...Structure: earn up to 10% of salary (to be paid quarterly) Vehicle Reimbursement Cell Phone Reimbursement Medical Benefits Available with...ReimbursementFlexible hoursNight shiftWeekend work
$32 - $50 per hour
...diagnostic procedures and treatment. Provides direct patient care utilizing the nursing process as a framework and adhering to the... ...future. Tax Advantages: Flexible Spending Accounts and Health Reimbursement Cards. Professional Growth: Support for CME activities and medical...ReimbursementHourly payFlexible hours
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