- Emory Healthcare/Emory University (Atlanta, GA)
- …diploma or equivalent and one year of credentialing experience in an acute care hospital, managed care organization and/or credentialing verification ... Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care /handling injuries, Radiation, Shift work, Travel may be required. Use… more
- Molina Healthcare (GA)
- …a clerical role in a claims, and/or customer service setting - preferably in managed care , or equivalent combination of relevant education and experience. * ... Qualifications** * Claims recovery experience. * Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in… more
- PruittHealth (Norcross, GA)
- …timeliest manner. 7. Applies knowledge of specific payer billing/payment rules, managed care contracts, reimbursement schedules, eligible provider information ... governmental programs, regulations and billing processes, commercial third-party payers, and/or managed care contracts and coordination of benefits * Familiarity… more
- Molina Healthcare (GA)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports for data… more
- Molina Healthcare (Savannah, GA)
- …2 years experience in customer service, consumer advocacy, and/or health care systems. Experience conducting intake, interviews, and/or research of consumer or ... members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare. **PREFERRED EDUCATION:** Associate's or Bachelor's… more
- Mass Markets (GA)
- …BPO services, consulting, or software solutions. + Proven success in selling managed services, system integration, and technology products. + Familiarity with market ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Compass Group, North America (Cumming, GA)
- …regulatory compliance and drives 98% equipment uptime-so clinicians can focus on care , not equipment issues. We support nearly 4,500 healthcare sites nationwide-from ... large, campus-based acute care hospitals to system-integrated outpatient clinics. With more than...outpatient clinics. With more than 1.15 million medical devices managed , we provide the clarity and consistency needed in… more
- Molina Healthcare (Savannah, GA)
- …program(s) proficiency. **Preferred Qualifications** * Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other ... in claims, and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience. * Customer… more
- Molina Healthcare (Columbus, GA)
- …**X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health ... claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. + Strong… more
- Wayfair (Atlanta, GA)
- …others, fostering an inclusive environment, and ensuring every detail is handled with care . + Deliver Excellence Every Day: You thrive on helping the team succeed ... a regular basis. Some projects may involve heavier items, which must be managed with proper assistance or equipment. + Vision Requirements: Includes close, distance,… more