- Walgreens (Douglasville, GA)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- 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 ... financial responsibility, and collection of patient out-of-pocket portion. + Create claims for dispensed DME. + Document and reconcile inventory and monthly… more
- Grant Thornton (Atlanta, GA)
- …projects related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing , with a focus on improving financial performance ... exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and healthcare systems. This includes areas such as… more
- Public Consulting Group (Atlanta, GA)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... options + Develops effective working relations and cooperate with medical team throughout the entire case management process +...working experience in case management, including as a nurse, medical , mental health care manager or a related job… more
- Grant Thornton (Atlanta, GA)
- …related to revenue cycle optimization, including patient access, revenue integrity, coding, claims processing , billing, and reimbursement, with a focus on ... diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and payers, with a strong understanding… more
- State of Georgia (Dekalb County, GA)
- …office manager with functional responsibilities as directed. Collaborate with VA Medical Center personnel to assure veterans are receiving timely uninterrupted ... medical care and benefits.. Provides administrative support for regular...able to pass the Training Responsibility Involvement Preparation of Claims Test (TRIP). High school diploma/GED and two (2)… more
- Healthfirst (GA)
- …+ Experience in clinical practice with experience in appeals & grievances, claims processing , utilization review or utilization management/case management. + ... of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity, Pre-certification, Continued Stay, Reduction, Termination, and Suspension of… more
- Highmark Health (Atlanta, GA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
- CVS Health (Alpharetta, GA)
- …NextGen Production Support Environment team, focusing on Non-Production Support: + Claims system: Health Rules Payer (HRP) + Enrollment systems: Market Prominence ... multi-tier applications. + 3+ years experience with or exposure to batch processing , monitoring technologies, and trend analysis + Knowledge or experience with… more
- ASRC Industrial Services (Atlanta, GA)
- …we offer a competitive salary and comprehensive benefits package that includes: Medical , Dental, Vision 401k with a Discretionary Company Match & 100% Immediate ... this role. + Proficiency in GPS software and data processing tools. + Experience with Trimble or similar GPS...competitive salary and comprehensive benefits package that includes: + Medical , Dental, Vision + 401k with a Discretionary Company… more