Top 58 Utilization review Jobs in Palm Beach Fl

Billing Specialist - Substance Abuse Treatment Operations
All In Solutions —Boynton Beach, FL
- $27 - $30 an hour
- Full-time
- Background check
- Addiction Medicine
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Utilization Review Coordinator (UR Coordinator)
Compassion Behavioral Health —Boynton Beach, FL
- $65,000 a year
- Full-time
- Mid-level
- 4 years
- Communication skills
Quick Apply
7d
Utilization Review Specialist (UR Specialist)
Haven Health Management —Palm Springs, FL
- $60,000 - $65,000 a year
- Full-time
- Addiction Medicine
- Mid-level
- Office
- Continuing education credits
- Health insurance
Quick Apply
5h
Admissions Coordinator
Prism Wellness Network —Delray Beach, FL
- $60,000 - $70,000 a year
- Full-time
- Computer literacy
- High school diploma or GED
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
UR COORDINATOR
GUARDIAN RECOVERY NETWORK HOLDINGS LLC —Delray Beach, FL
- $60,000 - $70,000 a year
- Full-time
- Remote
- Nursing
- Mid-level
- Master's degree
Quick Apply
Verification of Benefits Specialist
Compassion Behavioral Health —Boynton Beach, FL
- $39,500 - $45,000 a year
- Full-time
- Microsoft Excel
- Writing skills
- No experience needed
- Dental insurance
- Paid time off
Quick Apply
7d
Pediatrician-Atlantis Community Health Center
Health Care District of Palm Beach County —Palm Beach, FL
- Full-time
- Spanish
- Medicine
- Surgery
MDS Coordinator
MorseLife —West Palm Beach, FL
- Full-time
- Management
- Mid-level
- Trade school
Quick Apply
RN Case Manager PRN
HCA Florida JFK North Hospital —West Palm Beach, FL
- PRN
- Mid-level
- Children
- Adolescents
- Employee stock purchase plan
- Disability insurance
Quick Apply
Behavioral Health Collector
Ambrosia Behavioral Health —West Palm Beach, FL
- Background check
- Adults
- Mid-level
- Disability insurance
- Dental insurance
Quick Apply
Care Coordinator
Neuro Behavioral Hospital —West Palm Beach, FL
- Full-time
- Psychiatry
- Addiction Medicine
- Mid-level
Quick Apply
Utilization and Quality Nurse
FoundCare, Inc. —West Palm Beach, FL
- $70,000 - $90,000 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quality Assurance Associate – Palm Springs, FL office on-site
Warrior Service Company LLC —West Palm Beach, FL
- $18 - $22 an hour
- 8 hour shift
- Background check
- Computer literacy
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
Operations Assistant
MorseLife Health Systems —West Palm Beach, FL
- From $19 an hour
- Full-time
- Background check
- Microsoft Outlook
- Customer service
- Health savings account
- Health insurance
Quick Apply
Collections Specialist
NRG MGMT LLC —Boca Raton, FL
- Full-time
- Addiction Medicine
- HIPAA
- Mid-level
- Paid holidays
- Dental insurance
10d
Medical Records and Central Supply
The Cascades Health and Rehabilitation Center —Delray Beach, FL
- Full-time
- Mid-level
- Office
- Ability to climb stairs
Quick Apply
3d
Case Manager
Archstone Behavioral Health —Lantana, FL
- Full-time
- Background check
- Ability to walk for extended periods
- HIPAA
Quick Apply
1h
Clinical Document Integrity Specialist 2, Managed Care Network Development Med Mgmt-Boca Raton
Baptist Health South Florida —Boca Raton, FL
- $74,100.20 - $96,330.26 a year
- Medicine
- 5 years
- Mid-level
- Wellness program
- Health insurance
Clinical Manager
Seaside Home Health —North Palm Beach, FL
- Full-time
- RN License
- Mid-level
- 1 year
- Flexible schedule
Case Manager - Acute Rehab Unit
Select Medical Rehabilitation - Palm Beach —Lake Worth, FL
- $45 an hour
- 8 hour shift
- Hospital
- Mid-level
- Rehabilitation center
- Dental insurance
- Paid time off
Quick Apply

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Billing Specialist - Substance Abuse Treatment Operations

All In Solutions -
Boynton Beach, FL

Quick Apply

Job Details

Full-time
$27 - $30 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Computer operation
Teamwork
HIPAA
Attention to detail
Documentation review

Full Job Description

About Us – Mission & Values

At All In Solutions, our mission is to provide quality, evidence-based treatment that leads to long-term recovery for every client who walks through our doors. We believe that connection and purpose are essential to this pursuit, guiding every decision we make and every service we provide.

Position Summary

The Billing Specialist will be able to complete full cycle billing as well as resolve outstanding claims issues. They will be well versed in the ability to verify benefits as well as resolve outstanding AR.

Key Responsibilities

Benefit Verification: Verify insurance eligibility and detailed behavioral health benefits (deductibles, co-pays, out-of-pocket max) for all new admissions.
Coding & Compliance: Ensure accurate ICD-10 and CPT coding for substance abuse and mental health services, including the use of appropriate modifiers.
Claims Submission: Prepare and submit electronic and paper claims using UB-04 and CMS-1500 forms to commercial and government payers.
Quality Control: Review and scrub claims for accuracy prior to submission to minimize clearinghouse rejections and denials.
A/R Management: Manage the Accounts Receivable (A/R) aging report and perform consistent follow-up on outstanding claims beyond 30 days.
Denials & Appeals: Identify, analyze, and appeal denied or underpaid claims by submitting corrected claims or formal letters of medical necessity.
Cross-Department Collaboration: Coordinate with the Utilization Review (UR) department to ensure billing stays aligned with authorized days and levels of care.
Payment Posting: Post insurance and patient payments to the billing system and reconcile daily deposits with bank statements.
Payer Relations: Communicate with insurance adjusters and representatives to resolve complex billing discrepancies or contract issues.
Compliance Maintenance: Maintain up-to-date knowledge of HIPAA regulations and behavioral health parity laws to ensure facility compliance.
Financial Reporting: Generate weekly and monthly financial reports for management, including revenue projections and collection rates.
System Updates: Update and maintain the facility's Charge Master and payer contracts within the billing software/EHR.

Qualifications & Competencies

Proven experience as an SUD/MH Billing Specialist OR prior experience working in a substance abuse/mental health facility in a non-billing role (e.g., admin, intake, or operations) with a strong desire to transition into behavioral health billing.
Familiarity with regulatory requirements: NJ: NJAC 10:161A/B – Billing compliance for SUD facilities, FL: FAC 65D-30 – Billing documentation and reporting requirements, CA: Title 9 CCR, Chapter 11 – SUD billing and recordkeeping
Exceptional attention to detail and an eye for spotting errors and discrepancies.
Strong communication and customer service skills with the ability to see issues through to resolution.
Intermediate to advanced levels of skills in Google Suite and/or Microsoft Office and a proven aptitude for computers.
Strong understanding of current ICD-10, CPT and HCPCS coding practices.
Preferred understanding of ASAM (American Society of Addiction Medicine) criteria and how it relates to billing levels of care.
Experience with Kipu and CollaborateMD.
Familiarity with HIPAA privacy laws and the Mental Health Parity and Addiction Equity Act (MHPAEA).

Your skills. Our mission. A brighter future for recovery. If you have the specific regulatory expertise to clear the path for life-changing recovery, we want to meet you. Join our growing team. Apply now and be ALL IN!

Job Type: Full-time

Pay: $27.00 - $30.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Application Question(s):

Have you done MH/SUD facility billing?
Have you worked with Collab MD?
Have you worked with KIPU EMR?

Work Location: In person

Quick Apply

Refine Your Search

utilization review jobs in palm beach fl

Billing Specialist - Substance Abuse Treatment Operations

Utilization Review Coordinator (UR Coordinator)

Utilization Review Specialist (UR Specialist)

Admissions Coordinator

UR COORDINATOR

Verification of Benefits Specialist

Pediatrician-Atlantis Community Health Center

MDS Coordinator

RN Case Manager PRN

Behavioral Health Collector

Care Coordinator

Utilization and Quality Nurse

Quality Assurance Associate – Palm Springs, FL office on-site

Operations Assistant

Collections Specialist

Medical Records and Central Supply

Case Manager

Clinical Document Integrity Specialist 2, Managed Care Network Development Med Mgmt-Boca Raton

Clinical Manager

Case Manager - Acute Rehab Unit

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