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 Specialist Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Essential... ..., non-certified days (including identified causes and appeal information), discharges and quality of services, as required...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
- ...scientific user experience to help our clients better capture, manage, integrate, and analyze complex scientific data. We help improve... ...processes that many leading companies and government agencies utilize. What would you do? Deliver exceptional, differentiated solutions...SuggestedLive inWork at officeLocal area
- 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
- ...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.... ...#INDHR 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- ...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
- ...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
- ...the Patient Access Priority Engagement Specialist, Lead is responsible for the coordination... ...the training team. Assists (Supervisor/Manager) to define duties and responsibilities... ...departmental applications and other systems utilized by Patient Access. Works...Full timeCasual workShift 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
$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- ...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
$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...- ...looking for a A220 Heavy Maintenance Project Specialist to join our team in Peachtree City, GA... ...Specialist you work as a project manager supporting Maintenance Centers and Airlines... .... their own Measures, analyses and utilizes key performance indicators (KPIs) on...Weekly payPermanent employmentContract workTemporary workPart timeFor contractorsWork at officeRemote workWorldwideVisa sponsorship
$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- 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
- ...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...
- RK&K is seeking a Right of Way Specialist to support our Utilities/Real Estate Group across multiple states. You will provide real estate support for acquisitions, negotiate acquisitions/divestitures on utility projects, and ensure compliance with real estate laws. Responsibilities...
$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$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$70k - $90k
...About the Role The Lead Program Specialist supports the delivery of professional, technical... ...ensure compliance with federal requirements. Manage grant administration activities,... ...grant files for new and continuing awards. Utilize systems such as GrantSolutions to manage...Contract workWork at officeLocal areaRemote work- ...environmental condition and equipment performance, responds to facility alarms and work orders, performs troubleshooting, repairs, vendor management for onsite support, and maintains accurate technical and maintenance documentation. the Critical Facilities Technician will...Full timeFor contractorsWork at officeLocal areaShift work
- ...Senior SALT Associate - Hotel/Motel Specialist Do you want a career without limits? Do... ...audit, accounting and advisory and wealth management services. We are headquartered in Atlanta... ...Assist with real property tax appeals You may also contribute in the following...Full timeWork at officeLocal area
$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:...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management & Appeals Specialist. Be the first to apply!
- junk removal specialist Riverdale, GA
- continuous improvement specialist Riverdale, GA
- loss prevention specialist Riverdale, GA
- hospitality specialist Riverdale, GA
- medical prior authorization specialist Riverdale, GA
- fabrication specialist Riverdale, GA
- credit specialist Riverdale, GA
- health specialist Riverdale, GA
- esports specialist Riverdale, GA
- reconciliation specialist Riverdale, GA


