- Elevance Health (Atlanta, GA)
- …by law._ The Provider Reimburse Admin Sr ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... of education and experience, which would provide an equivalent background. + RN; Medical billing and coding certification strongly preferred. Please be advised… more
- Trinity Health (Athens, GA)
- …years hospital registration or insurance verification experience upon hire. Knowledge of medical terminology, diagnostic coding & procedural coding required. ... for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely. **Minimum Qualifications** High school… more
- Danaher Corporation (Atlanta, GA)
- …/ customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. This role ... will have the opportunity to: + Provide education to internal colleagues, healthcare providers, lab professionals, office staff and financial decision makers on… more
- Cognizant (Atlanta, GA)
- …to be considered: *High school diploma or GED *Proven experience working in healthcare revenue cycle with specializing in hospital claims . *Expertise in ... you will perform advanced level work related to resolution of hospital claims . You will be responsible for resolving aged hospital accounts receivables, identifying… more
- Cardinal Health (Atlanta, GA)
- …team to ensure timely and accurate resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement ... evaluations for AR follow-up staff. + Coordinate with billing, coding , and other departments to address claim issues and...as the point of escalation for complex or high-dollar claims . + Stay current with payer policy changes, compliance… more
- Cardinal Health (Atlanta, GA)
- …of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... Center of Excellence (AI CoE), we are pushing the boundaries of healthcare with cutting-edge Data Science and Artificial Intelligence (AI). Our mission is… more
- Trinity Health (Athens, GA)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... of medical terminology, anatomy and physiology, and medical record coding (ICD-10, CPT, HCPCS) is...college or prescribed course of study in business or healthcare field preferred; Spanish speaking preferred **Experience:** Past work… more
- Highmark Health (Atlanta, GA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
- CenterWell (Atlanta, GA)
- …CMS, PQA, HEDIS and NCQA. Applying those technical specifications to transactional claims to generate member level reporting for business owners. Developing study ... make an impact** **Required Qualifications** + Bachelor's degree in Mathematics, Statistics, Healthcare , Informatics, Computer Science or related field + 5 or more… more