- Molina Healthcare (Atlanta, GA)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design, as well as provide… more
- CenterWell (Atlanta, GA)
- …from 9:30am-6pm CST / 10:30-7pm EST.** As a **Healthcare Insurance Authorization Specialist ** , you will be responsible for: + Daily audit of admission, ... + Coordinate, review, and analyze documentation and data entry supporting Medicare , Medicaid, and commercial payer requirements to ensure accurate and timely… more
- CenterWell (Augusta, GA)
- …services within the Center. . Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. . Assures personal compliance with ... Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across… more
- Evolent (Atlanta, GA)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
- CenterWell (Columbus, GA)
- …. Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed appropriately and coordinating ... to and participate in Agency's mandatory HIPAA / Privacy Program and Employee Compliance Program . . Read...to problem solve effectively. . Must possess knowledge of Medicare guidelines governing home health and hospice agencies. .… more