- STG International (Milledgeville, GA)
- …of absence and bed-holds per facility policies; document census as established for billing and clinical purposes. + Assist with safe and orderly resident transfers ... Coordinate Pre-certification sand recertification in accordance with facility policies for Medicare Advantage and + commercial insurance payers. + Interpret the… more
- Cognizant (Atlanta, GA)
- …clinical denials including but not limited to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing ... the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member… more
- Vatica Health (Atlanta, GA)
- …the ability to effectively communicate with physicians, advanced practice providers and medical office personnel such as Practice and Billing Manager, both ... patient data to improve care coordination, quality metrics, and medical cost savings. The ideal candidate has a track...care (ie, ICU/CCU/MICU) and/or ED) + Proficiency with Diagnosis, Billing , and Quality Measures Coding a plus + Excellent… more
- Molina Healthcare (Augusta, 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** *...a health care related vocational program (ie, certified coder, billing , or medical assistant). To all current… more
- CenterWell (Marietta, GA)
- …billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to ... + Homecare Homebase (HCHB) experience is highly preferred. + CMS PDGM billing knowledge and/or experience, preferred. **Additional Information** + Normal Hours of… more
- Waystar (Atlanta, GA)
- …scoping, project planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and industry experience to ... changes and compliance issues, focusing on government/payer requirements for claims billing & coding/authorization * Leverage analytical tools (Excel, PowerBI, SQL… more
- Humana (Atlanta, GA)
- …Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains ... complex data sets within large organizations + Experience working with Claims, Billing and Reconciliation or related healthcare data + Expertise in Microsoft Office… more
- Intermountain Health (Atlanta, GA)
- … Billing , Follow-Up, Collections) required + Knowledge of Medicaid and Medicare billing regulations required **Physical Requirements** + Operate computers and ... + Understanding Coordination of Benefits + Understanding EOB + Understanding Medical Terminology + Payment Handling + Effective written and verbal communication… more
- Gentiva (Madison, GA)
- …diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse Practitioner, ... you will:** + Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by providing diagnosis,… more
- Trinity Health (Lavonia, GA)
- …Qualifications:** + Knowledge of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid, Social Security Disability, Tricare, ... being friendly, professional and respectful, to guarantee the flow of accurate medical , insurance and demographic information throughout the system. **What you will… more