Utilization Management & Appeals Specialist
Acadia Healthcare
Acadia Healthcare is seeking a professional to monitor service utilization and support reimbursement optimization for our facility. You will liaison between managed care organizations and clinical staff, review plans, and coordinate communication on reimbursement requirements. You will monitor length of stay, collect utilization data, conduct medical necessity reviews, facilitate appeals, and provide ongoing staff training on documentation and continued stay criteria. #J-18808-Ljbffr Acadia Healthcare
- ...Utilization Management SpecialistProactively monitor utilization of services for patients to optimize reimbursement for the facility.Essential... ...utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as...SuggestedWork at office
- ...information, visit . Job Title: RCM Specialist-Ophthalmology Must reside in... ...member of the Revenue Cycle Management Team, the RCM Specialist is... ...payment discrepancies •Utilizing aging reports and workflow... ...•Ability to research and appeal denied claims •Answering all...SuggestedWork at officeRemote workHome officeFlexible hoursAfternoon shiftEarly shift
- ...reimbursement rates are paid on claims based on current client contracts. Utilizes knowledge of the revenue cycle and patient accounts to maximize... ...healthcare receivables and collections, including denial and appeal processes. 6. Understanding of the healthcare revenue cycle 7....SuggestedWork at office
- ...Parts Specialist The Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store management in the accomplishment of assigned tasks. Bilingual candidates encouraged to apply. Essential Job Functions...SuggestedLocal areaFlexible hours
- ...ABOUT THE ROLE The Safety Specialist II works closely with field staff, clients and subcontractors, all levels of management, and personnel from external organizations during... ...and emergency restoration services. We utilize our well-established, long-standing reputation...SuggestedWeekly payTemporary workFor contractorsFor subcontractorLocal areaImmediate startVisa sponsorshipWork visa
- ...Leasing Specialist Affiliated Resources Group (ARG) specializes in... .... ARG affiliates develop and manage housing, administer large government... ...to cleanliness and curb appeal of the community; assisting... ...approximately 1% to 33% of the time) to utilize property transportation to...Full timePart timeWork at officeLocal areaFlexible hoursAfternoon shift
- DescriptionThe Senior Project Controls Specialist leads project controls processes and consults with the project management team to ensure client satisfaction. Presents schedule... ...proper Work Breakdown Structure (WBS) is utilized.Develop effective scheduling reports, cost...Contract workFor contractorsWork at office
- ...execution. The IO Transition Planner plays a critical role in managing the movement of personnel, equipment, and commodities while... .... Assist in developing detailed inventories, equipment utilization and procurement plans, budgets, reports, and layout drawings....Work at officeRemote work
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- ...group • YMC is seeking a Project Controls Specialist to support key client relationships and... ...updates, progress reports, and change management documentation • Analyze schedule... ...and cost tracking, preferably within the utility or infrastructure sectors • Strong proficiency...Contract workFor contractorsFor subcontractor
- ...And Electrophysiology Clinical Account Specialist AtriCure, Inc. provides innovative technologies... ...products are the most widely sold LAA management devices worldwide. AtriCure's Hybrid AF... ...live cases, ensuring optimal device utilization and clinical outcomes. Engage key...Temporary workWork at officeWorldwide
$64k
...protecting human life through the assessment, prediction, and management of violence. GDBA’s Mission: The Safety, Privacy, and Wellbeing... .... Your Role as a Protector: Monitor property while utilizing the tools and technology of a GDBA Command Center Screen visitors...- ...opportunity for a career as an Ongoing Licensing Specialist . This position will add value to the company by recruiting, managing ongoing foster homes, and re-certifying and... ...recruitment to meet current demand by utilizing data Carrying out the annual recruitment plan...Local areaWeekend work
- ...POSITION SUMMARY The Medical Record & Appeal Specialist is responsible for the accurate and... ...independently. KEY COMPETENCIES Time Management: Consistently delivers high-quality... ...manner. Analytical Thinking: Utilize problem solving abilities with the review...
- United States, Georgia, AtlantaRevenue Management 28-Jul-2026Ref #: 33358How you'll help us Keep Climbing (overview & key responsibilities)At Delta Air Lines, connection is at the heart of everything we do and guides our every action. We strive to welcome and care for...Temporary work
$21.76 - $45.96 per hour
C.H. Robinson is looking for a Customs Specialist who will play a critical role in protecting... ...will serve as a trusted customs expert, managing complex exceptions, government agency... ...customer service skills and follow up to be utilized with customers and the network Proven...Hourly payContract workTemporary workWork at officeLocal areaRemote workWorldwideFlexible hours2 days per week3 days per week- ...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 quality of services. A high school diploma is...
$20 per hour
...future. Must possess strong leadership, communication, and time management skills. Must be detail oriented and can multi-task.... ...Automated Employment Decision Tool (AEDT) Usage: We may utilize an Automated Employment Decision Tool (AEDT) in connection with...Hourly payFull timeWork at officeLocal areaImmediate startShift workNight shiftWeekend work- ...Appeals Specialist Medical Billing & Insurance Appeals Mount Yonah Medical Billing (MYMB) Location: Doraville, GA 30360 Employment Type... ...to deliver accurate, compliant, and efficient revenue cycle management services that maximize reimbursement and support quality patient...Hourly payFull timeWork at officeAfternoon shift
$90k - $110k
Overview The Strategic Sourcing Specialist drives innovation and operational excellence within JLL's Category Management Center of Excellence. This role combines hands‑on procurement... ...profiles, and market analysis tools Utilize advanced Excel and PowerPoint to create...Daily paidLocal areaRemote work- Georgia Power is seeking a Forestry Field Associate to support the Transmission Vegetation Management team in inspecting rights of way and ensuring vegetation-related safety across territories including Rome, Atlanta Road, Oakley, Conyers and Columbus TMC areas. Some overnight...For contractorsNight shift
$65k - $75k
...join us! About the Role As an Appeals and Grievances Specialist, you'll own the end-to-end handling... ...What You'll Do Intake, triage, and manage a caseload of member and provider appeals... ...grievances, claims adjudication, utilization review, or a related health...- Clayton County Public Schools Riverdale Early Learning Center is seeking an Early Learning Instructional Specialist to support implementation of Prekindergarten standards and responsive teaching practices. You will assist with planning professional development, coordinating...
- Toto USA, Inc. in Morrow, GA seeks a Safety Specialist (bilingual preferred) to develop, implement, and monitor workplace safety programs across facilities. You will conduct inspections, lead safety trainings, and ensure compliance with OSHA and local regulations while...Local area
$65k - $75k
...will contribute : Proactively and assertively driving the billing process by utilizing complex problem-solving skills along with strong client interaction skills for team of Managing Directors and Director levels Creates monthly billing summary / analysis of all...Part timeFor subcontractorFlexible hours- ...Operational Effectiveness (ESA)Travel Required:NoneClearance Required:Ability to Obtain Public TrustWhat You Will Do:As a Grants Management Specialist supporting Guidehouse’s federal health clients, you will contribute to the administration and oversight of grant and...Full timeInternshipWork at officeFlexible hours
$112.56k
Agency: Federal Emergency Management AgencyDepartment: Department of Homeland SecuritySalary: Starting at $112,556 Per year (GS 13)Dates: Open 08/10/2026 to 08/17/2026Schedule: Full-timeWork type: PermanentRelocation: FalsePosition ID: FEMA-AW-13030749-IMPDocument ID:...$90k - $110k
...industry, join our team as we help shape a brighter way forward. OverviewThe Strategic Sourcing Specialist drives innovation and operational excellence within JLL's Category Management Center of Excellence. This role combines hands-on procurement expertise with technology...Full timeLocal areaRemote work$39.31 - $46.73 per hour
...service. Participate in procedural charging. Maintains supply management. Able to act quickly under emergency situations. Able to discuss... ...radiography or RCIS (Registered Cardiovascular Invasive Specialist) or RCES obtained within 12 months of hire or promotion as a condition...Hourly pay$25 - $30 per hour
Asset Tracking Specialist I — Job ScopeRole OverviewThe Asset Tracking Specialist I supports the accurate tracking, inventory management, and lifecycle administration of IT hardware across the organization. This role ensures technology assets are properly recorded, maintained...Contract workTemporary workWork at office
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