- Cardinal Health (Atlanta, GA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... with secondary insurance company when necessary. + Bills supplemental insurances including all Medicaid states on paper and online. + Mails all paper claims. + Acts… more
- Humana (Atlanta, GA)
- …the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Molina Healthcare (Savannah, GA)
- …Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid , Medicare, CHIP and Marketplace, applicable State regulatory requirements, ... + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management +… 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
- State of Georgia (Fulton County, GA)
- …and Department of Community Health (DCH), for referrals of consumers to/from Medicaid and Georgia Access. Performs other duties assigned. High school diploma/GED and ... or two (2) years of experience required at the lower level Complnc Specialist 1 (RCP060) or position equivalent. Note: Some positions may require a certification… 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 ... or an Associate's degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder (CPC)… more
- HCA Healthcare (Augusta, GA)
- …the state data systems **What you will need** : + Oncology Data Specialist (ODS) certification **required** + 1-3 years of Cancer Data Abstraction experience ... 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