- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- CenterWell (Morrow, GA)
- **Become a part of our caring community and help us put health first** The Lead Medical Assistant is the first point of contact for patient care. Responsible for ... administrative duties in addition to patient care. The Lead Medical Assistant assumes ownership and leads advanced and highly...* This role is considered patient facing and is part of the company's Tuberculosis (TB) screening program. If… more
- CenterWell (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Receptionist is responsible for the front desk operations of a healthcare ... scheduling appointments, handling inquiries, and maintaining patient records. The Medical Receptionist ensures a smooth and welcoming experience for patients… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... ensure correct coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Medical ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and… more
- CenterWell (Decatur, GA)
- **Become a part of our caring community and help us put health first** The Medical Assistant is the first point of contact for patient care. Responsible for ... administrative duties in addition to patient care. The Medical Assistant performs varied activities and moderately complex administrative, operational, and customer… more
- Humana (Atlanta, GA)
- …Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work assignments involve moderately ... Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...IN THE US AND MUST WILLING TO WORK CENTRAL TIME ZONE HOUR** **S** . **Required Qualifications** + MD… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical records and assigns appropriate procedural terminology and ...protect member PHI / HIPAA information **Interview Format** As part of our hiring process for this opportunity, we… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Senior Clinical Medical /Financial Risk Evaluation Professional is responsible for ... supporting the development, implementation and monitoring of medical /financial risk and healthcare fraud. The Senior Clinical Medical /Financial Risk Evaluation… more