- Aveanna Healthcare (Atlanta, GA)
- …all guarantors for services provided. This is inclusive of claims to commercial, Medicare , Medicaid and private pay accounts. Essential Job Functions Maintains ... does not have a signed agreement with Aveanna. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Molina Healthcare (Atlanta, GA)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid / Medicare /Marketplace health coverage audit policies and be able to apply ... data from all types of healthcare providers that bill Medicaid / Medicare /Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Ensure investigators are managing their… more
- Cardinal Health (Atlanta, GA)
- …Schedule: Monday - Friday, 8:00 AM - 4:30 PM EST **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance ... and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing… more
- Humana (Atlanta, GA)
- …Activation Principal coordinates, implements, and manages oversight of the company's Medicare / Medicaid Stars Program for aligned areas. The Stars Improvement ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Molina Healthcare (Atlanta, GA)
- …representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Atlanta, GA)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Savannah, GA)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team ... complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals...related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current Molina employees:… more
- Emory Healthcare/Emory University (Duluth, GA)
- …eligibility, and/or evaluating for financial assistance. + Requires knowledge of Medicare , Medicaid , and Third Party carriers, referrals and pre-certification ... perform aspects of Emory Healthcare processes from registration to billing . + This position requires thorough knowledge of the...a level appropriate for the job. + Knowledge of Medicare , Medicaid , Third Party carriers, referrals and… more
- Cardinal Health (Atlanta, GA)
- …and executing audit plans. + Expert-level knowledge and application of Medicare / Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC ... and manages compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This… more
- Waystar (Atlanta, GA)
- …1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid / Medicare payers. We are deeply committed to living out our organizational ... industry, and operations, including an intimate understanding of healthcare specific billing requirements, reimbursement, enrollment, and patient billing and… more