- Molina Healthcare (Augusta, GA)
- …appeal into information system and prepares documentation for further review. + Research issues utilizing systems and other available resources. + Assures timeliness ... medical records, notes, and/or detailed bills as appropriate to assist with research . + Determines appropriate language for letters and prepare responses to appeals… more
- Federal Law Enforcement Training Centers (Glynco, GA)
- …Recruitment incentive may be authorized. Responsibilities Serving as a Law Enforcement Specialist (Core Instructor) GS-1801-11/12 makes you a valuable member of the ... changes in training and/or operational procedures and instructions. Conducting research on emerging technology, practices, and techniques to enhance instructional… more
- Molina Healthcare (Macon, GA)
- …Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or ... outside agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and… more
- Molina Healthcare (GA)
- …to others with respect to the more complex appeals and grievances. + Research and resolves escalated issues including state complaints and high visible, complex ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more