- Humana (Atlanta, GA)
- …Senior Business Intelligence Engineer will develop and maintain expertise in complex Medicare reimbursement methodologies. This role is within the Integrated ... on Pricer edit resolution + Provide consultation to internal business partners on Medicare reimbursement /editing logic and Humana system logic **Use your skills… more
- Molina Healthcare (Augusta, GA)
- …their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB ... and manage information from large data sources. + Analyze claims and other data sources to identify early signs...- 5 years supervisory experience + Demonstrated understanding of Medicaid and Medicare programs or other healthcare… 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 ... of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either through direct experience in a healthcare setting or… more
- Danaher Corporation (Atlanta, GA)
- …and reimbursement landscape. + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through ... and reimbursement . + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement . + Respond to and… more
- Danaher Corporation (Atlanta, GA)
- …and maintain a comprehensive understanding of national, regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers ... and reimbursement . + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement . + Respond to and… more
- Humana (Atlanta, GA)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and ... 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)
- …and troubleshooting. **Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare reimbursement methodologies for providers, ... or reimbursement processes + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg, performing basic… more
- Cardinal Health (Atlanta, GA)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… 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 ... start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits + Wellness incentives +...a level appropriate for the job. + Knowledge of Medicare , Medicaid , Third Party carriers, referrals and… more
- PruittHealth (Norcross, GA)
- …patient benefits and payer contracts, and manage follow-up on denied or unpaid claims . * Ensure billing codes, documentation, and reimbursement amounts are ... HIPAA, and payer compliance standards. **Preferred Qualifications** * Experience with Medicare , Medicaid , and commercial insurance billing for infusion services.… more