- Fresenius Medical Center (Summerville, GA)
- …nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and… more
- CenterWell (Atlanta, GA)
- …services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. + ... but is not limited to HIPAA privacy program/practices, Business Ethics and Compliance programs/practices, and Company policies and procedures. + Reviews and adheres… more
- The Cigna Group (Atlanta, GA)
- …questions about Pharmacy Benefit Services(PBS) benefits, mail-order pharmacies, or Medicare . + Take calls back-to-back while toggling through several applications ... to maintain the quality of the home delivery process, document HIPAA compliance and reduce potential legal concerns + Resolve questions and/or issues that… more
- Elevance Health (Atlanta, GA)
- …receivable, write-offs, cash collection, cash posting, and net billing revenue. + Ensure compliance with state and federal regulations, as well as adherence to ... Medicare and private insurance guidelines. + Lead and oversee...management abilities. + In-depth knowledge of healthcare regulations and compliance standards. Please be advised that Elevance Health only… more
- Peachtree Orthopedics (Atlanta, GA)
- …any AR trends, denial issues, or irregularities affecting daily workflow. + Compliance : Adhere to compliance and regulatory requirements, and make ... Knowledge of ICD-10, CPT, HCPCS, and modifiers preferred. + Understanding of Medicare , managed care, and commercial insurance products and plans. + Familiarity with… more
- Molina Healthcare (Savannah, GA)
- …review. The position may also work with other internal departments, including Compliance , Corporate Legal Counsel, and Medical Officers in order to achieve and ... the state of New York as needed. + Ensures compliance with applicable contractual requirements, and federal and state...+ Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of… more
- City of Alpharetta, Georgia (Alpharetta, GA)
- …by Employee Manual & Benefits Handbook or bona fide occupational qualifications). In compliance with the Drug-Free Workplace Act of 1988, the City of Alpharetta is ... successfully perform the essential functions of this job. In compliance with the ADA, the City of Alpharetta will...yrs. of service) may continue individual coverage up until Medicare eligibility at age 65. Medical Reimbursement: retirees (age… more
- Molina Healthcare (GA)
- …assessment. * Facilitates integrated, proactive healthcare services management - ensuring compliance with state and federal regulatory and accrediting standards and ... for programs and staff development to ensure consistent cost-effectiveness and compliance with all state and federal regulations and guidelines. * Maintains… more
- Waystar (Atlanta, GA)
- …accounts, and service accounts. + Perform user access reviews required to meet compliance (SecurEnds). + Other duties as required **WHAT YOU'LL NEED** * Have a ... + Experience working in an environment with audit and regulatory compliance requirements + Experience training others + Experience writing technical documentation… more
- Molina Healthcare (GA)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Negotiates agreements ... meeting Molina's network adequacy standards. * Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised… more