- Highmark Health (Atlanta, GA)
- …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for supervising member service call center and ensuring timely, professional, and courteous ... to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make...routine medical approval decisions. **This role sits within the Medicaid Market - looking for someone who has Customer… more
- Molina Healthcare (Atlanta, GA)
- …to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is ... optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job Duties** * Hires, trains, develops, and supervises… more
- Molina Healthcare (Atlanta, GA)
- …and in compliance with all relevant federal, state and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and ... policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** This role serves as the primary point of contact… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services , veteran status or any other ... frame. + Maintains focus on the provision of quality service in a rapid and efficient manner in order...resources. + Maintains a thorough working knowledge of Medicare, Medicaid and private payer regulations and processes. + Maintains… more
- PruittHealth (Norcross, GA)
- …counseling, assessment of psychosocial needs, assessments for financial needs and services including providing written explanation of Medicare, Medicaid and ... **JOB PURPOSE:** To provide social work services based on the individual needs of the...Assist with the physician and other health care team member 's in understanding the significant social and emotional factors… more