- Morehouse School Of Medicine (Atlanta, GA)
- …) is a place of distinction, serving as the nation's leading academic medical center for vulnerable populations. It's also a place for passionate individuals looking ... ) is a place of distinction, serving as the nation's leading academic medical center for vulnerable populations. It's also a place for passionate individuals looking… more
- Trinity Health (Greensboro, GA)
- …Should have a general understanding of admissions, management information systems, medical records, insurance, and patient billing process. Knowledge of ... of URC meetings by gathering key statistics and preparing reports. Issue Medicare Important Message Letters and perform monthly audits for compliance. Establish and… more
- Grant Thornton (Atlanta, GA)
- …diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and payers, with a strong understanding ... optimization, including patient access, revenue integrity, coding, claims processing, billing , and reimbursement, with a focus on enhancing financial performance… more
- CVS Health (Atlanta, GA)
- …various systems to verify accuracy of claim payment, member eligibility data, billing /payment status, and prior to initiation of the appeal process. + Coordinates ... of members or providers as assigned. **Required Qualifications** + 1-2 years Medicare part C Appeals experience. + Experience in reading or researching benefit… more
- CenterWell (Atlanta, GA)
- …billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Waystar (Duluth, GA)
- …**(highly valued, but not required):** + Previous experience with ANSI X12 EDI transactions and/or medical billing claim forms (CMS 1500 or UB-04) + Prior use of ... systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out...+ bonus, if applicable) + Customizable benefits package (3 medical plans with Health Saving Account company match) +… more
- Waystar (Duluth, GA)
- …**WHAT YOU'LL NEED** * Bachelor Degree preferred * Extensive working knowledge of Medical Billing / Healthcare EDI **ABOUT WAYSTAR** Through a smart platform ... systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out...+ bonus, if applicable) + Customizable benefits package (3 medical plans with Health Saving Account company match) +… more
- Waystar (Atlanta, GA)
- …of responsibility and control **WHAT YOU'LL NEED** + Must have experience working in medical billing and/or with HCFA 1500/CMS 1500 and/or with UB-92/UB-04 (with ... systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out...+ bonus, if applicable) + Customizable benefits package (3 medical plans with Health Saving Account company match) +… more
- Genesis Healthcare (Savannah, GA)
- …or credentialed, as required in the state of practice. 4. A thorough knowledge of Medicare and third party billing is required. 5. Prefer a minimum of four ... Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support… more
- Highmark Health (Atlanta, GA)
- …authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. ... specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as...across multiple states. They must also be familiar with Medicare drug benefit design offerings that may differ by… more