- Molina Healthcare (Columbus, GA)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form). * Advanced understanding of key managed ... executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data… more
- Cardinal Health (Atlanta, GA)
- …of documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Prepares written reports of ... and manages compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This… more
- Molina Healthcare (Atlanta, GA)
- …and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare providers ... and Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Humana (Atlanta, GA)
- …Principal coordinates, implements, and manages oversight of the company's Medicare /Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... Operations encompasses critical functions including care coordination, quality measurement, billing , claims processing, and customer service, each essential to… more
- Waystar (Atlanta, GA)
- …industry, and operations, including an intimate understanding of healthcare specific billing requirements, reimbursement, enrollment, and patient billing and ... + Exceptional critical thinking and analytical skills + Healthcare billing or healthcare operations experience required preferably institutional and provider… more
- Molina Healthcare (Atlanta, GA)
- …* Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am -...related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current… more
- Molina Healthcare (Atlanta, GA)
- …* Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical ... accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** *...related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current… more
- Molina Healthcare (Savannah, GA)
- …* Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** *...related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current… more
- Emory Healthcare/Emory University (Duluth, GA)
- …and/or evaluating for financial assistance. + Requires knowledge of Medicare , Medicaid, and Third Party carriers, referrals and pre-certification procedures. ... ability to perform aspects of Emory Healthcare processes from registration to billing . + This position requires thorough knowledge of the patient estimate process.… more
- Intermountain Health (Atlanta, GA)
- …cycle (Payment Posting, Billing , Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in ... workflow issues, and escalating in a timely manner + Advanced knowledge of Medical Terminology + Payment Handling + Effective written and verbal communication +… more