- Molina Healthcare (GA)
- …support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. ... Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other… more
- Aveanna Healthcare (Alpharetta, GA)
- …of practice + Demonstrated proficiency in clinical assessments, documentation and compliance with policies and procedures Preferred: + Strong organization and ... Health Therapy and completion of OASIS documentation As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- PruittHealth (Atlanta, GA)
- …and levels of care. 2. Must be knowledgeable of private insurance, Medicare and Medicaid coverage criteria, rules and regulations and reimbursement methodologies. 3. ... including the right to wage complaints. 13. Complies with corporate compliance program. 14. Reports job-related functions/tasks that involve occupational hazards… more
- Humana (Atlanta, GA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- Humana (Atlanta, GA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- AdventHealth (Calhoun, GA)
- …GA **Top Reasons To Work At AdventHealth Gordon** Four-star Rating, Centers for Medicare & Medicaid Services 150 Great places to work in Healthcare, _Beckers ... practice and to departmental standards. Responsibility to adhere to the Hospital Corporate compliance plan, to the rules and regulations of all local, state, and… more
- Cardinal Health (Atlanta, GA)
- …coding, posting and front office teams to resolve account issues + Ensure compliance with HIPAA and all relevant federal/state payor regulations. + Flag trends or ... insurance claim processing and denial management preferred. + Familiarity with Medicare , Medicaid, commercial insurance plans, and managed care preferred. +… more
- Cardinal Health (Atlanta, GA)
- …knowledge of payer policies, coding changes, and reimbursement guidelines. + Ensure compliance with HIPAA and all relevant federal/state billing regulations. + Flag ... insurance claim processing and denial management preferred. + Familiarity with Medicare , Medicaid, commercial insurance plans, and managed care preferred. +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and Grady Health System. Fellows must be eligible at participants in Medicare , Medicaid and other third-party payers contracted with Emory Healthcare and Grady ... directed to the Emory University Department of Equity and Civil Rights Compliance , 201 Dowman Drive, Administration Building, Atlanta, GA 30322. Telephone: ### (V)… more
- Humana (Atlanta, GA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more