- STG International (Milledgeville, GA)
- …Coordinate Pre-certification sand recertification in accordance with facility policies for Medicare Advantage and + commercial insurance payers. + Interpret the ... necessary to provide assistance. STGi is a workforce solutions company providing comprehensive healthcare delivery, Head Start and management...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps -… 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
- Cognizant (Atlanta, GA)
- …is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of ... (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. *...authorized to work in the United States without requiring company sponsorship now or at any time in the… 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. Ability to address related...degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified… more