- 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 ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… 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
- Cardinal Health (Atlanta, GA)
- …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
- Humana (Atlanta, GA)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... for services rendered is complete, compliant and accurate to support optimal reimbursement . Identifies the root cause analysis of audit findings and submits… 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)
- …workers to hospital executives. + Requires working knowledge of hospital billing practices, payer reimbursement methodology, medical necessity criteria, and ... Lead several managers focused on driving high revenue leakage findings for our Hospital Charge Integrity and DRG clients + Support managers with client communication… 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 +...and to avoid financial risk to both patient and hospital . Ensures all insurance requirements are met prior to… 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
- Intermountain Health (Atlanta, GA)
- …compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates to ensure ... (3) years of direct related experience in revenue cycle operations Hospital Billing/Coding experience preferably with a large Health System preferred **Preferred**… 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 +...Law. + False Claims Act (FCA). + Medicare and Medicaid regulations. + Fraud, Waste, and Abuse (FWA) prevention.… more