- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Qualifications** + Experience with Ohio Medicaid hospital reimbursement methodologies + Experience researching and resolving provider reimbursement… more
- Molina Healthcare (GA)
- …* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * ... contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting,… more
- Humana (Atlanta, GA)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …healthcare and transplants preferred. + Strong knowledge of Medicare and Medicaid reimbursement regulations. + Excellent analytical and problem-solving skills. ... preparing to report on all supplemental Federal and State reimbursement matters + Coordinates Medicare and Medicaid ...with priority focus on billing changes impacting physician and hospital chargemasters + Assist with Provider based… more
- CVS Health (Atlanta, GA)
- …**Dual Eligible Special Needs Plan** (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. ... interactions which include visits to member homes, in the community, and/or provider locations, facilities. + Care management activities will focus on quality of… more
- HCA Healthcare (Savannah, GA)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our...staff, and shared service center departments. You will also provide support to coding leadership by coordinating coding and… more
- Humana (Atlanta, GA)
- …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
- Aveanna Healthcare (Marietta, GA)
- …Salary: $17.00 - $18.00 per hour Position Details Aveanna Healthcare is the largest provider of home care to thousands of patients and families, and we are looking ... patients in a timely, courteous, and professional manner * Provide proper instruction to patients and/or families on use...Assist local dietitian with setups of new patients in hospital and clinics when needed Requirements * High school… more
- Waystar (Atlanta, GA)
- …of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either through direct experience in a healthcare ... hospitals and health systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out our organizational values:… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... Reimbursement Programs + Family-focused benefits + Wellness incentives Ongoing...insurance information for preregistration/registration on all patients. + Communicates hospital 's financial policies to all patients. + Maintains thorough… more
- HCA Healthcare (Savannah, GA)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the… more
- PruittHealth (Athens, GA)
- …levels of care. 2. Must be knowledgeable of private insurance, Medicare and Medicaid coverage criteria, rules and regulations and reimbursement methodologies. 3. ... continuum and facilitating admissions into the Pruitt Health network. 5. Must provide excellent customer service to all referral sources and network of providers.… more