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
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Utilization & Reimbursement Specialist in Moosic, PA vacancy
- 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
$46.92k
...Salary: $46,917.00 per person (approximately $180,000 total compensation per couple, including free housing, meals while on duty, utilities, and more) Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance...SuggestedFull timeWork from homeRelocation packageFlexible hoursWeekday workMilton Hershey School
Old Forge, PA23 hours ago$46.93k
...Nutrition Specialist Qualifications: REGISTERED DIETICIAN with current American Dietetic Association Registration and/OR BS Degree... ...prescription drugs; coverage begins after 60 days; Health Reimbursement Account with LCHS paying 1/2 of deductible. RETIREMENT PLAN LCHS...ReimbursementFull timeImmediate startRelocation packageFlexible hours- ...experience required. Full training provided.The Prior Authorization Specialist is responsible for obtaining pre-certifications and... ...authorizationsEnsure all services have prior authorizations. Utilize EMR system checking encounters when necessary and assign to the...SuggestedWork at officeLong distanceFlexible hours
Refuah Health Center
Old Forge, PA1 day ago - ...meaningful, integrated employment in the community. The Program Specialist is a dynamic, multi-functional role that supports individuals... ...needed to fill open shifts or support clients.* Ensure the utilization of client-directed services as needed and perform check-ins...SuggestedRotational programShift 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
The Valley Health System
Old Forge, PA1 day ago - Sterile Compounding Pharmacy TechnicianChewy, America's #1 pet pharmacy, is seeking Sterile Compounding Pharmacy Technicians to join our pharmacy team in Pittston, PA. The ideal candidate will be responsible for supporting all facets of low, medium, and high-risk level...
Chewy
Pittston, PA4 days ago $17 - $25 per hour
...while following Company procedures, guidelines, and methods, and utilizing approved chemicals, supplies, tools, and equipment. Ensures a... ..., 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 workSam's West, Inc.
Wilkes Barre, PA2 days ago- ...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
- Copperfield Chimney Supply, Inc. in Pittston, PA is seeking a part-time Operative to safely fabricate chimney cap products. You will perform spot welding, machine operation, boxing, and quality checks as part of a production line. The role requires basic math, tape measure...Part timeFlexible hours
Copperfield Chimney Supply
Pittston, PA5 days ago $180k - $220k
...leadership experience preferred. Expertise in: CMS regulations PDPM reimbursement Budget management Quality improvement Census development... ...readmission rates Occupancy and census growth Medicare utilization Labor costs Agency staffing reduction Employee retention Resident...ReimbursementFull timeInterim rolePine Valley Center for Rehabilitation and Nursing
Old Forge, PA3 days ago- ...Refuah Health is seeking a Prior Authorization Specialist to obtain pre-certifications and authorizations for patients. It is a federally qualified health center with three decades of experience providing accessible care in Rockland and Sullivan Counties. You will contact...Flexible hours
Refuah Health Center
Old Forge, PA1 day ago - ...Asset Protection Specialist | Home DepotPosition Purpose:The Asset Protection Specialist is primarily responsible for preventing financial... ...compliance in their assigned store/multiple stores. They utilize tools to minimize loss to the Company, including but not limited...
Home Depot
Scranton, PA3 days ago $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 hoursShift work$60.54k - $92.01k
...****@*****.*** THE POSITION As an Orientation and Mobility Specialist for the Bureau of Blindness & Visual Services, you will help blind... ...to individuals and families to help them understand and utilize mobility skills, options, and opportunities Interested in learning...Permanent employmentFull timePart timeInternshipWork at officeLocal areaRemote workWork from homeFlexible hoursCommonwealth of Pennsylvania
Wilkes Barre, PA5 days ago$17 - $24 per hour
...improve the shopping experience, and elevate associate engagement; utilize handheld technology to make immediate business decisions... ...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 timeImmediate startFlexible hours- Job Description:Our OpportunityChewy, the fastest growing e-commerce retail businesses and Pet Pharmacy in the United States today, is seeking aCustomer Service Workforce SpecialistIIwho is hard-working, analytical, and can think creatively. This individual contributor...Shift work
Chewy
Pittston, PA3 days ago - ...service issues. Collaborates with specialty specific technical specialist at other lab locations to assure standardization system-wide.... ...allows you to accrue time quickly Up to $5,000 in tuition reimbursement per calendar year MyHealth Rewards wellness program to improve...Full timeTemporary workPart timeWork experience placementLocal areaRelocation packageFlexible hoursShift workNight shiftWeekend workDay shift
Geisinger Health System
Pittston, PA1 day ago - Marquis Licensed Home Care Services Agency is seeking an Intake Coordinator to manage referrals from initial intake through start of care, ensuring compliance with state regulations, payer requirements, and agency policies while delivering professional and compassionate...
Marquis Home Care
Old Forge, PA5 days ago $100.5k - $145.17k
...may include: Chains, Mass Merchants, and GrocersThis position utilizes proactive business development, marketing insights, and... ...process within large retail pharmacychains, market dynamics, and reimbursement concepts (local market area preferred).Demonstrated ability to...ReimbursementFull timeLocal areaRemote workSanofi
Moosic, PA5 days ago- ...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
$125 per hour
...conditions by screening for disease. Utilizing patient medical history as part of skin... .... Referring patients to advanced specialists. Provide patient education on diagnosis... ...Flexible Spending Accounts and Health Reimbursement Cards. ~ Professional Growth: Support...ReimbursementHourly payFull timeRelocation packageFlexible hoursWeekend workAfternoon shiftRefuah Health Center
Old Forge, PA4 days ago- ...the 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 payWork at officeLocal areaImmediate startFlexible hours
BAYADA Home Health Care
Pittston, PA12 days ago - ...focusing on delaying disease progression (CKD), medical cost/utilization and preventing/reducing hospitalizations, through proactive post... ...on-call!Competitive pay and Excellent Benefit packageCEU/CME reimbursement + Paid License renewals & many other...ReimbursementFull timeWork at officeRemote workWork from homeFlexible hoursNight shiftWeekend work
DaVita Labs
Pittston, PA4 days ago - ...EAP Specialist UPMC Health Plan and WorkPartners is hiring a flexible full-time EAP Specialist to support our external client, Marywood... ...short term, focused clinical interventions for clients utilizing telemedicine platform. EAP Specialist will establish collaborative...Full timeTemporary workSummer holidayFlexible hours
- ...Care Gap Closure & Pre-Visit Planning Specialist Care Gap Closure & Pre-Visit Planning is a specialized clinical support position... ...health maintenance, preventive care, chronic conditions, recent utilization, laboratory results, referrals, and outstanding care gaps....
- ...needed.When the machine experiences an interruption in production, utilize time to clean up oil, sweep, mop, make boxes or other tasks... ...LeaveRetirement Savings Plan with company matchTuition Reimbursement (dependent upon approval)Discretionary bonus program (initial...ReimbursementHourly payFull timeTemporary workWorldwideFlexible hoursShift work
Amcor plc
Pittston, PA1 day ago - ...Job Description Job Description Olympia Chimney, Inc. has partnered with Hueman to find a full-time Liner Specialist for their Liner Manufacturing department in Pittston, PA. As a Liner Specialist , you will perform hands-on manufacturing duties focused on producing...Full timeMonday to FridayAfternoon shift
Hueman PE Talent Solutions
Pittston, PA4 days ago $1,567 - $1,737 per week
...Insurance ~ Customized Housing Options ~ Life and Disability Insurance ~401(k) with Employer Match ~ Certification & Licensure Reimbursement ~ Generous Referral Bonus Program ~ Weekly Direct Deposit ~24/7/365 Support Ready to learn more? Apply...ReimbursementFull timeContract workImmediate startFlexible hoursShift workTravelNurseSource
Moosic, PA2 days ago- Geisinger Primary Care Pittston is seeking a front-line Office Associate to support the department. You will greet and register patients, verify demographics, and help with the check-in and check-out processes. The role handles insurance communications, collects payments...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization & Reimbursement Specialist. Be the first to apply!
