- Baylor Scott & White Health (Atlanta, GA)
- JOB SUMMARY The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... established policies and procedures in compliance with federal, state, and local laws and regulations..... Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a… more
- Gentiva (Athens, GA)
- …+ Supervise all volunteer activity within the designated service area. + Maintain compliance with the Medicare Hospice Conditions of Participation 5% volunteer ... requirement. + Assess patient and family needs for volunteer services and coordinate appropriate placements. + Recruit, train, and retain Administrative, Direct Care, Vigil, and Bereavement volunteers. + Facilitate volunteer orientation and annual training… more
- Humana (Atlanta, GA)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. All work occurs… more
- Molina Healthcare (Columbus, GA)
- **Job Description** **Job Summary** Provides leadership to the Medicare Duals team and plays a critical role in advancing the Medicare Integrated Duals segment ... strategic priorities. Develops and executes Medicare strategies, including state-specific and product-specific growth initiatives. Leads high-priority projects… more
- Fresenius Medical Center (Jonesboro, GA)
- …core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL ... options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). +… more
- Humana (Atlanta, GA)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Atlanta, GA)
- …customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Molina Healthcare (GA)
- …and compliance to SVP, Clinical Operations and CMO, Enterprise Medicare Unit, + Develops strategic direction for Star Rating improvement through ongoing ... existing healthcare quality improvement initiatives and education programs supporting Medicare Star Ratings improvement for Clinical HEDIS measures. Responsible for… more
- Humana (Atlanta, GA)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage, and Medicaid requirements and will understand… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …reporting associated with the governmental reimbursements and required cost reporting compliance . + Responsible for preparing cost reports, monitoring compliance ... to report on all supplemental Federal and State reimbursement matters + Coordinates Medicare and Medicaid audits and assists with preparation of all supporting work… more