- Point32Health (GA)
- …the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- State of Georgia (Fulton County, GA)
- Eligibility and Enrollment Analyst (State Based Exchange) Georgia - Fulton - Atlanta ... Sign Up for Job Alerts Under supervision, the Eligibility and Enrollment Analyst is responsible for reviewing and updating program policies and operational… more
- State of Georgia (Dekalb County, GA)
- Quality Assurance Analyst Georgia - Dekalb - Atlanta (https://ga.referrals.selectminds.com/jobs/71612/other-jobs-matching/location-only) Administrative & Operations ... should consider joining the DCA Team POSITION SUMMARY The Quality Assurance Analyst (QAA) will be responsible for: coordinating quality assurance checks; assisting… more
- BrightSpring Health Services (Valdosta, GA)
- …balancing and reporting.* Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.* Send cash transfer & check requests to the ... with State Billing Portal sites, preferred.* Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred*… more
- Carter's/OshKosh (Atlanta, GA)
- …Welfare plan administration for US and Canada, including benefits, enrollment, appeals , medical, dental, vision, life insurance, voluntary benefits, HSA/FSA & COBRA ... in partnership with third party administrators - for both the Full-time and Part-time US and Canada populations. - Serve as day-to-day lead for full-time and part-time US and Canada benefits payroll process for assigned benefits, including oversight of… more
- Intermountain Health (Atlanta, GA)
- …updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals , to facilitate corrective action planning for improved processes. 7. ... Complies with all CMS, Federal and State regulations, and payor guidelines, and ensures consistent and compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates to… more
- State of Georgia (Fulton County, GA)
- …investigation. SUPERVISION: + Legal services division staff including paralegal and analyst . MINIMUM QUALIFICATIONS : + Three years of directly related experience. ... Hearings, and before an Administrative Law Judge, the Georgia Court of Appeals , and the Georgia Supreme Court. + Experience interacting directly with the… more
- Intermountain Health (Atlanta, GA)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... providers, clinical staff, compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding… more