• Inpatient Coding Denials Specialist

    HCA Healthcare (Augusta, GA)
    …you want to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to ... opportunity to make a difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our team. **Job Summary and… more
    HCA Healthcare (07/26/25)
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  • Utilization Review Specialist / RN

    Emory Healthcare/Emory University (Atlanta, GA)
    …leadership programs + And more **Description** The **Utilization Review (UR) Specialist ** is a Registered Nurse responsible for conducting thorough medical necessity ... to assist with determining appropriate patient class designation. + The UR Specialist will perform timely and comprehensive reviews of the patient chart utilizing… more
    Emory Healthcare/Emory University (08/23/25)
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  • Utilization Review Specialist Registered…

    Emory Healthcare/Emory University (Atlanta, GA)
    …at the Emory Northlake campus. Monday-Friday** The **Utilization Review (UR) Specialist ** is a Registered Nurse responsible for conducting thorough medical necessity ... reviews to assist with determining appropriate patient class designation. The UR Specialist will perform timely and comprehensive reviews of the patient chart… more
    Emory Healthcare/Emory University (08/19/25)
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  • Leave of Absence Specialist

    Aveanna Healthcare (Atlanta, GA)
    Leave of Absence Specialist ApplyRefer a FriendBack Job Details Requisition #: 207220 Location: Atlanta, GA 30339 Category: HR Salary: $54,000.00 - $59,000.00 per ... we serve. Position Overview The primary responsibility of the Leave of Absence Specialist is to manage and administer all aspects of the Company absence management… more
    Aveanna Healthcare (08/12/25)
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  • Lead Specialist , Appeals & Grievances…

    Molina Healthcare (GA)
    …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more
    Molina Healthcare (08/24/25)
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  • Specialist , Appeals & Grievances - Remote

    Molina Healthcare (Augusta, GA)
    …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more
    Molina Healthcare (08/24/25)
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  • Provider Enrollment Specialist

    Intermountain Health (Atlanta, GA)
    …with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types. + Coordinates all aspects of ... with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types. 12. Execute large enrollment… more
    Intermountain Health (08/24/25)
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  • Cash Applications Specialist

    Aveanna Healthcare (Atlanta, GA)
    Cash Applications Specialist ApplyRefer a FriendBack Job Details Requisition #: 207324 Location: Atlanta, GA 30339 Category: Accounting/Finance Salary: $23.00 - ... in the communities we serve. Requirements Position Overview The Cash Applications Specialist is responsible for using reports, tools and other resources provided by… more
    Aveanna Healthcare (08/17/25)
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  • Associate Specialist , Appeals & Grievances…

    Molina Healthcare (GA)
    …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… more
    Molina Healthcare (08/09/25)
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  • AR Specialist

    Peachtree Orthopedics (Atlanta, GA)
    …Independently assess claims edits and other billing messages to resolve any claims denials to ensure prompt resolution. + Responsible for all facets of refunds, ... credit balance, and offset resolution. + Ability to perform duties under minimal supervision. + Completes annual compliance and regulatory requirements as applicable. Please note this job description is not designed to cover or contain a comprehensive listing… more
    Peachtree Orthopedics (07/12/25)
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