- Waystar (Duluth, GA)
- **ABOUT THIS POSITION** The role of the Print and Financial Services Specialist Project Manager is to plan, execute, and finalize project tasks associated with ... with the Patient Tools. The Print and Financial Services Specialist is responsible for coordinating the efforts of project...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- CVS Health (Atlanta, GA)
- …submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. **Preferred Qualifications** + Computer proficiency including experience… more
- Ensono (Atlanta, GA)
- …policies, regulatory requirements, and industry best practices. The IAM Specialist will also be responsible for maintaining all necessary certifications ... and pass related background checks including but not limited to Medicare and Medicaid and VA **Preferred Skills:** + Experience with secure file transfer protocols… more
- Humana (Atlanta, GA)
- …accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and ... Board + Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Molina Healthcare (GA)
- …or have a compact license._ _This position will support our UT Medicaid & Marketplace Population. Excellent computer multi-tasking skills and good productivity is ... Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid , Medicare, CHIP and Marketplace, applicable State regulatory requirements,… more
- Banner Health (GA)
- …with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General ... least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified… more
- Banner Health (GA)
- …with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General ... least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Registered… more
- HCA Healthcare (Augusta, GA)
- …Reasons + As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS-II) duties + Periodically works with their Manager to review individual ... full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000… more
- CenterWell (Atlanta, GA)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients… more
- Evolent (Atlanta, GA)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by the Office of Inspector… more