- 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
- 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
- Cardinal Health (Atlanta, GA)
- …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
- Humana (Atlanta, GA)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… 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
- 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
- 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...funding and choices of insurance coverage, ie, Medicare and Medicaid eligibility, COBRA, Social Security Disability, retirement plan, etc.… 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 +...resources. + Maintains a thorough working knowledge of Medicare, Medicaid and private payer regulations and processes. + Maintains… more
- Emory Healthcare/Emory University (Decatur, 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...performing verification of benefits, order entry, and pre-certification for Hospital Services. + Maintains knowledge and is familiar with… more
- PruittHealth (Marietta, 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