- US Physical Therapy (Rome, GA)
- …big smile will go a long way in our clinic. + Rebilling, follow -up, and collection activity for assigned payers. + Researching, appealing, and addressing patient ... and thoroughly document pertinent collection activity performed. + Verify claims adjudication utilizing appropriate resources and applications. + Initiate telephone… more
- Elevance Health (Columbus, GA)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Elevance Health (Atlanta, GA)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Molina Healthcare (Atlanta, GA)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience...well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Elevance Health (GA)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisor's on the development of care management treatment ... plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Elevance Health (Atlanta, GA)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Elevance Health (Atlanta, GA)
- …plan and modifies as necessary. + Assists in problem solving with providers, claims or service issues. + Coordinate referrals to local and statewide resources ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- Guidehouse (Atlanta, GA)
- …reflects our commitment to creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and Family Sick ... Partner with revenue cycle teams to improve workflows and claims management. + Support Guidehouse Managed Services SOP on...management and facilitation of executive agenda and meeting deck; follow up with AE leads/teams to close out open… more
- Elevance Health (Atlanta, GA)
- …**Preferred Skills, Capabilities and Experiences:** + 1-3 years' experience in claims processing, provider , or credentialing strongly preferred. Please be advised ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- Waystar (Atlanta, GA)
- …of Healthcare Revenue Cycle Operations and Data Flows preferred, specifically claims , payer payments, and patient interactions + Snowflake / Snowpark experience ... payers and health plans. For more information, visit waystar.com or follow @Waystar (https://twitter.com/Waystar) on Twitter. **WAYSTAR PERKS** + Competitive total… more