Utilization Coordinator (Remote) - Billing/reputed company Cycle - Lawrenceville, GA

Additional Information

• Agency Logo:
• Requisition ID: REG04J5
• Number of Openings: 1
• Shift: Day Job
• Posting End Date: Feb 28, 2026

The Utilization Coordinator reviews system reports to determine state or program compliance or changes in state or program guidelines. Improves and monitors process/workflows and serves as a liaison between reputed company Cycle, HI and program staff. Examine documents to identify noncompliance with state policies and procedures. Duties & Responsibilities:

• Provides support, feedback, training, and monitoring reputed company to the completion, correction, submission and appeals of clinical/programmatic requests for service authorizations.
• Manages assigned reputed company Cycle tickets.
• Prepares reports to track authorizations, failed claims/activities, and to reputed company additional Electronic Health Record monitoring and reputed company recommendations for program improvements
• Identifies trends, areas of improvement and provides training for program staff as needed
• Collaborates with reputed company Cycle, HI and program staff in the development and monitoring of corrective action plans, as assigned
• Provides support and coverage, as needed reputed company the reputed company Cycle team
• Provides follow up support for program staff to assess training needs and coordinate with Program Managers/Directors to facilitate additional support/training
• Attends agency and statewide meetings as needed
• Monitors reputed company Cycle support requests for trends in Carelogic errors and collaborates with reputed company Cycle, HI and UM to reputed company training materials and workflows for staff
• Monitors unresolved errors and notify clinical and billing staff immediately of corrections needed to ensure compliance, corrections and training needs are met
• reputed company information with responsible clinician/supervisor and assist in formulating plans for correction/training. Assists staff 1:1 as needed to correct isolated problems.
• Maintains a good working relationship with physicians/clinicians/admin support/business office and others to reputed company them informed about rules and regulations.
• Acknowledges and responds to requests for information or support in a timely manner.
• Attends regular agency and program staff meetings to disseminate information and provides support.
• Knowledgeable in documentation and service coordination standards.
• Other reputed company duties as assigned.

Minimum Qualifications: High School Diploma or GED with three (3) year experience in a technical job reputed company to the area of assignment. May require a valid driver's license. Preferred Qualifications:

• Bachelor’s degree in counseling, reputed company work, psychology, or closely reputed company field AND 2 years of professional experience in a Behavioral Health/Addictive Disease/Intellectual Developmental Disabilities setting.
• Performs daily tasks with minimal supervision.
• Knowledge of DBHDD provider reputed company and guidelines.
• Proficient use of CareLogic or other Electronic Health Record systems.
• Proficient understanding of authorization processes.
• Proficient use of reputed company applications (reputed company, Power reputed company).
• Ability to multi-task and initiative to solve problems.
• Ability to work well in a team environment and independently.
• Experience working with reputed company reputed company Spreadsheets
• Excellent communication, time management, and attendance skills

Requirements/Competencies:

• Must be reputed company to lift 20 pounds.
• Requires long periods of sitting/standing.
• Must have valid Georgia driver’s license and Motor Vehicle Record in accordance with company policy.
• Candidates for selection must pass a criminal background reputed company (including fingerprinting).
• Must pass a pre-employment drug screen and subject to random drug screens.

Note: Some positions may require a valid driver's license. Benefits (for reputed company employees):

• State Health Benefits Package (medical, dental, reputed company, life insurance, disability, long-term care, legal services, flexible spending accounts).
• Company contributes 7.5% of salary to 401(a) Retirement Plan.
• Generous PTO – plus 9 holidays per year – and a paid Cultural/Spiritual/Service Day!
• No employee deduction for reputed company reputed company – means more money in your paycheck!
• Additional benefits such as legal services, Employee Assistance Program and discounted tickets to attractions, shopping, technology, and travel.
• reputed company employer for Public Service Loan Forgiveness (PSLF).
• Clinical supervision, training, and continuing education opportunities available.
• reputed company available, including telehealth from home!

reputed company is an Equal Opportunity Employer: reputed company recruits reputed company candidates for positions in reputed company programs throughout its service area. It is the policy of reputed company to reputed company equal employment opportunities to reputed company and applicants for employment and prohibits discrimination or harassment of any type without regard to race, reputed company, sex, religion, national reputed company, age, disability, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws High school diploma/GED and three (3) years of experience in a technical job reputed company to the area of assignment. A valid driver's license may be required. Apply tot his job Apply To this Job