• Licensed Practical Nurse (LPN/LVN) - All Shifts

    STG International (Milledgeville, GA)
    …+ Coordinate Pre-certification sand recertification in accordance with facility policies for Medicare Advantage and + commercial insurance payers. + Interpret ... of absence and bed-holds per facility policies; document census as established for billing and clinical purposes. + Assist with safe and orderly resident transfers… more
    STG International (07/24/25)
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  • Registered Nurse - Clinical Appeals & Denials…

    Cognizant (Atlanta, GA)
    …clinical denials including but not limited to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing ... following benefits for this position, subject to applicable eligibility requirements: * Medical /Dental/Vision/Life Insurance * Paid holidays plus Paid Time Off *… more
    Cognizant (10/09/25)
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  • RN Clinical Manager, Home Health

    CenterWell (Savannah, GA)
    billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to ... and/or BLS certification. **Required Experience/Skills:** + Valid driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse… more
    CenterWell (09/04/25)
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  • Sr Enterprise Rules and Edits Consultant

    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
    Waystar (09/23/25)
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  • DME Coordinator

    United Musculoskeletal Partners (Suwanee, GA)
    **DESCRIPTION** + Provide on-site management of the Resurgens Orthopaedics Durable Medical Equipment ("DME") Program. + Under the direct supervision and orders of ... of orthopaedic DME products for patients, gather necessary paperwork to facilitate billing on behalf of Resurgens Orthopaedics, and collect payments at time of… more
    United Musculoskeletal Partners (08/26/25)
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  • Patient Access Representative, PRN

    Trinity Health (Athens, GA)
    …+ Knowledge of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid, Social Security Disability, Tricare, and ... being friendly, professional and respectful, to guarantee the flow of accurate medical , insurance and demographic information throughout the system. **What you… more
    Trinity Health (10/10/25)
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  • Nurse Practitioner Palliative Care

    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
    Gentiva (09/03/25)
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  • Payer Relations Specialist

    Waystar (Atlanta, GA)
    …value for Waystar's clients by unlocking new partnerships and capabilities with Insurance Carriers, help improve Waystar's outcomes and lower costs by using payer ... + Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new,… more
    Waystar (09/29/25)
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  • Admin Support 1

    State of Georgia (Decatur, GA)
    …Georgia Registry of Immunization Transaction Services (GRITS) database . Experience with Insurance & Medicare /Medicaid billing . Bilingual (Spanish), ability ... . One or more years of experience performing complex office/administrative duties in a Medical Office setting . Experience entering and retrieving information in the… more
    State of Georgia (10/10/25)
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  • Director, Clinical and Revenue Integrity…

    Waystar (Atlanta, GA)
    …workers to hospital executives. + Requires working knowledge of hospital billing practices, payer reimbursement methodology, medical necessity criteria, and ... 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 (09/25/25)
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