- State of Georgia (Decatur, GA)
- Behavioral Intervention Specialist (BIS) - Child and Adolescent CSU - Decatur, GA. Georgia - Decatur ... developmental disabilities. View Point Health serves uninsured, underinsured, low-income Medicaid , Medicare, war veterans and some private insurance across multiple… more
- Gentiva (Conyers, GA)
- …Inspire Excellence. Elevate Hospice Care.** We are seeking a Patient Care Manager Specialist to join our team, reporting to the Regional Director of Operational ... with company policies and regulatory requirements. **As a Patient Care Manager Specialist , You Will:** + Provide oversight for patient care delivery across… more
- Waystar (Atlanta, GA)
- …THIS POSITION** We are seeking a highly skilled and proactive Senior Specialist , Site Reliability Engineering (SRE) to help drive reliability, scalability, and ... passion for automation, observability, and operational excellence. As a Senior Specialist , you'll work on complex reliability challenges, lead technical initiatives,… more
- State of Georgia (GA)
- … Specialist 2: Zone 1 Georgia (https://ga.referrals.selectminds.com/jobs/63846/other-jobs-matching/location-only) Regulatory ... job posting and apply: If interested, please apply to: https://www.governmentjobs.com/careers/dchga/jobs/3205897/compliance- specialist -2-zone-1?pagetype=jobOpportunitiesJobs Applicants who do not apply using the dchjobs… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's clients by...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Molina Healthcare (Augusta, GA)
- …the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- CenterWell (Atlanta, GA)
- …from 9am-5:30pm CST / 10-6:30pm EST.** As a **Healthcare Insurance Authorization Specialist ** , you will be responsible for: + Daily audit of admission, ... + Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid , and commercial payer requirements to ensure accurate and timely billing… more
- Oracle (Atlanta, GA)
- …arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim Denial ... to claims processing across payers and government entities such as CMS/state Medicaid , maintain current knowledge of payer policies and medical necessity criteria,… more
- Waystar (Duluth, GA)
- **ABOUT THIS POSITION** The Client Relations Specialist position is responsible for positively influencing Waystar's attrition rate by proactively identifying at ... hospitals and health systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out our organizational values:… more
- Intermountain Health (Atlanta, GA)
- …payer re-credentialing requests and demographic/roster requests. + Completes out-of-State Medicaid individual and facility enrollments timely and accurately for ... all aspects of provider enrollment with commercial and government (Medicare and Medicaid ) professional fee payer contracts for an entire market. Ensures enrollment… more