Utilization & Reimbursement Specialist
Acadia Healthcare
Acadia Healthcare in Florida is seeking a Utilization Management Specialist to monitor medical necessity and optimize reimbursement for our facility. The role collaborates with clinical staff and managed care organizations to ensure compliant review and reporting. You will conduct pre-certifications, support staff with documentation, and coordinate appeals for denied admissions, while upholding regulatory requirements and patient-centered care. #J-18808-Ljbffr Acadia Healthcare
- ...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
- North Tampa Behavioral Health Hospital in Wesley Chapel, FL is seeking a qualified specialist to monitor utilization of services and support reimbursement workflows, including pre-certifications and communications with managed care organizations. Candidates should have...Reimbursement
- ...Position Summary The Revenue Cycle Specialist is responsible for supporting the organization's revenue cycle operations through billing... ...functions, including claims processing, payment posting, reimbursement support, and other financial operations. Key Responsibilities...Reimbursement
$18 per hour
...ensuring the timely collection of accounts receivable, monitoring account activity, and providing appropriate follow-up to maximize reimbursement for ancillary billing. The ideal candidate will have a strong understanding of medical claims billing, denial management, and...ReimbursementWork at office$17 - $25 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- ...Hospital Location: Wesley Chapel, Florida Position: Invasive Specialist (Tech) III Department: Cardiac Cath Lab Elevating Healthcare... ...making skills as required or will solicit supervisory input. Utilizes all department computer systems effectively and accurately....Local areaWeekend workAfternoon shift
$16.63 - $26.6 per hour
...Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans. Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information. Contacts insurance...Full timeWork experience placementWork at officeLocal areaShift work- ...Health Information Specialist I Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the... ...when required. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office equipment...Full timeWork experience placementWork at officeMonday to Friday
- ...Walmart Stores | Medical, Dental, Vision, Rx + 401(k) with match + PTO + 100% Reimbursement of Tuition & Books | 28500 State Road 54 | Responsibilities: Assist and greet customers; Accept payments at fuel station; Stock shelves and restock grab-and-go items; Maintain cleanliness...ReimbursementImmediate start
- ...Sam's Club | Medical, Dental, Vision, Rx + 401(k) with match + PTO + 100% Reimbursement of Tuition & Books | 27727 State Road 56 | Responsibilities: Provide exceptional customer service to members across the club; Maintain a clean, neat, and member-ready area; Receive...ReimbursementImmediate start
- ...Sam's Club | Medical, Dental, Vision, Rx + 401(k) with match + PTO + 100% Reimbursement of Tuition & Books | 27727 State Road 56 | Responsibilities: Stock freezer, cooler, and deli areas and ensure product is properly displayed and labeled; Provide member service by assisting...ReimbursementImmediate start
- ...Asset Protection Specialist Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial... ...program compliance in their assigned store/multiple stores. They utilize tools to minimize loss to the Company, including but not...
$14 - $27 per hour
...benefits include short-term and long-term disability, company discounts, Military Leave Pay, and adoption and surrogacy expense reimbursement, among others. 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 workDay shift$14 - $27 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...ReimbursementFull timeTemporary workPart timeWorldwideShift workWeekend workAfternoon shift- A premier automotive dealership is looking for a Recon Assistant to manage the vehicle reconditioning process. This role includes monitoring the Rapid Recon workflow, ensuring accurate documentation, and achieving quality control standards before final vehicle delivery....
- Florida Medical Clinic Orlando Health is seeking a Scheduling Coordinator to manage scheduling, rescheduling and cancellations for tests and procedures in a busy vascular surgery setting. The role requires regular communication with physicians, patients and ancillary/surgical...
- AdventHealth in Wesley Chapel, FL is seeking a Dispatch Communications Center professional for night shifts to update CAD, coordinate field units, and ensure timely patient transport. The role requires at least 1 year in a medical dispatch or equivalent communications center...Night shift
- Intervention Specialist - English for Speakers of Other Languages Resource (ESOL) 2026-2027 Pasco County Schools STUDENT SUPPORT PROGRAMS... ...’s Certificate Background Screening Pasco County Schools utilizes the Florida Care Provider Background Screening Clearinghouse for...Full timeWork at office
- Jobtailor in the United States (Florida) seeks a Radiation Therapist to administer radiation treatments per treatment plan and maintain meticulous session records while upholding strict safety standards. The role requires licensure (Florida CRT/RTT), ARRT certification,...
- Overview We are seeking a dedicated Online Auction & Senior Transition Specialist to join Caring Transitions to support seniors as they downsize and transition into their next home. Our mission is to create Day One Living for each client, making their move stress-free,...Full time
- Walmart Sam’s Club in Wesley Chapel, FL is seeking a Produce Associate to help maintain quality, availability, cleanliness and freshness of produce while delivering friendly, helpful service to members. You’ll stock and rotate merchandise, assist customers with questions...
- An established industry player is seeking a skilled analytics professional to configure and optimize Epic content across various applications. This role involves developing business intelligence solutions, writing SQL queries, and ensuring data accessibility for consumers...
- A supportive transition service is seeking an Online Auction & Senior Transition Specialist to help seniors downsize and transition into new homes. The selected candidate will photograph items for online auctions, write engaging descriptions, and provide compassionate...Full time
- A specialized orthopedic practice in Wesley Chapel, Florida, seeks an Advanced Registered Nurse Practitioner/PA to support their surgical team. Responsibilities include conducting pre-operative assessments, developing patient care plans, assisting in surgeries, and post...
- Florida Orthopaedic Institute (FOI) is seeking a Therapy Services Representative in Wesley Chapel to manage front-end therapy office functions. You will greet patients, verify benefits, obtain authorizations, schedule visits, and handle financial collections with accuracy...
$31.53 - $50.4 per hour
..., efficiency, and best practice visit utilization. Other duties as assigned. Assesses... ...Home Care Regulations and Third-Party Reimbursement as it impacts care delivery [Preferred... ...BLS) [Required] Certified for Oasis Specialist-Clinical (COSC) [Preferred] Physical...ReimbursementFull timeWork experience placementLocal areaMonday to FridayShift workWeekend work$120k
...appreciative culture (same staff for 10+ years) ~ Practice utilizes Dragon, AI scribes and in person scribes to assist with documentation... .../Benefits Highlights: ~ Starting Salary of $120,000 ~ CME reimbursement ~ Comprehensive health, dental, and vision ~401k with...ReimbursementFull timeTemporary workWork at officeShift workWeekend work3 days per week- AdventHealth in Wesley Chapel, FL, seeks a Full-time EMS Dispatch Communications Center Operator. You will update unit statuses, handle high-stress calls, enter patient data into CAD, and coordinate resources for transport from a fast-paced center. The role requires a high...Full timeDay shift
- Moffitt Cancer Center in Florida seeks a Patient Access Scheduling Coordinator Infusion to manage scheduling and registration for outpatient services across various departments, including infusion. This role requires strong customer service and multitasking abilities in...
- Florida Orthopaedic Institute in Wesley Chapel, FL is seeking a Therapy Services Representative to manage front end therapy office functions, verify benefits, obtain authorizations, schedule patients, and handle daily chart maintenance. This on-site role emphasizes excellent...Full time
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