- Molina Healthcare (Augusta, GA)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (Augusta, GA)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Augusta, GA)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Molina Healthcare (Augusta, GA)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- HCA Healthcare (Augusta, GA)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Molina Healthcare (Augusta, GA)
- …level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to ... + Supplies criteria supporting all recommendations for denial or modification of payment decisions. + Serves as a clinical resource for utilization management, CMOs,… more
- United Rentals (Augusta, GA)
- …revenue for the branch by renting equipment, selling equipment, advising the manager of product and service needs, and by providing exceptional customer service. ... the branch by renting equipment, selling equipment, advising the manager of product and service needs, and by providing...and external support. **What you'll do:** **Accounts Receivable & Payment Management:** + Prepare and maintain daily AR bank… more
- Ryder System (Augusta, GA)
- …HAS A FUTURE At Ryder, our most important competitive advantage is our people. _CULTURE- INTEGRITY - FAMILY_ . As a Rental Manager Trainee, you'll be part of a ... you like what you read _** **Job Summary** This program is fast-paced and touches every aspect of the...interview, Ryder will never ask for any form of payment or banking details and will never solicit personal… more