- Humana (Atlanta, GA)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Board + Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health… more
- CenterWell (Marietta, GA)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... for TB. **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare … more
- Waystar (Duluth, GA)
- **ABOUT THIS POSITION** The role of the Print and Financial Services Specialist Project Manager is to plan, execute, and finalize project tasks associated with ... with the Patient Tools. The Print and Financial Services Specialist is responsible for coordinating the efforts of project...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Banner Health (GA)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment ... regarding charge related issues, processes and programming. Participates in company -wide quality teams' initiatives to improve coding and clinical documentation.… more
- CVS Health (Atlanta, GA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... applicable) to ensure the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are… more
- Banner Health (GA)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... Care Financing Administration (HCFA), as well as company and applicable professional standards. 4. As assigned, compiles daily and monthly reports; tabulates data… more
- Cardinal Health (Atlanta, GA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... follow-up & disposition. + Verifies patient eligibility with secondary insurance company when necessary. + Bills supplemental insurances including all Medicaid… more
- Highmark Health (Atlanta, GA)
- ** Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more
- Humana (Atlanta, GA)
- …the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its… more
- ChenMed (Atlanta, GA)
- …the charts? Do you inspire others with your kindness and joy? Do you want a company to support you in everything you do? ChenMed is different than any other primary ... family of companies: ChenMed, JenCare and Dedicated Care. Our company started 35 years ago and now consists of:...caregivers transforming the health and lives of seniors on Medicare Advantage. Through our Value Based Care approach, you… more