- Cardinal Health (Atlanta, GA)
- …experience will be considered + Must possess an AAPC or AHIMA coding certification (CPC, CCS, CCS-P, COC, or RHIA, etc.). Auditing certification preferred. ... fee coding and auditing. + Working knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding… more
- Molina Healthcare (Atlanta, GA)
- …the organization's business and industry requirements. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO ... Experience** * 5 years of process improvement experience **Required License, Certification , Association** LEAN certification and/or Lean Six Sigma Green… more
- Molina Healthcare (Atlanta, GA)
- …urgency, communication and follow through to closure. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO contract ... Belt PMI - Project Management Professional (PMP) Agile Product Owner Design Thinking Certification **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:**… more
- Waystar (Atlanta, GA)
- …rapidly adapt to changing situations and inputs * Medical claims coding certification preferred **ABOUT WAYSTAR** Through a smart platform and better experience, ... 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
- Sedgwick (Atlanta, GA)
- …in a state or territory of the United States required. **Medicare Set-Aside Consultant Certified (MSCC) certification required or actively enrolled in the MSCC ... nurses who have their MSCC certifidation or are enrolled in the MSCC certification program--if this is you please apply!** **PRIMARY PURPOSE** **:** To provide… more
- PruittHealth (Norcross, GA)
- …needs and services including providing written explanation of Medicare, Medicaid and Insurance benefits to prospective patients/families when necessary, and ... Participates in ongoing inservice education. * Acts as a consultant to agency personnel. * Coordinates care provided to...in your field as well as to maintain current license/ certification , as required. * Attend and participate in mandatory… more
- Molina Healthcare (Atlanta, GA)
- …in support of business objectives. * Serves as a Provider Engagement internal consultant and subject matter expert; works collaboratively to ensure the PETs and ... familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited… more
- Aveanna Healthcare (Smyrna, GA)
- …staff, health care team members, and family. + Serves as a resource consultant for clinical staff. + Provide physicians and Aveanna with written evaluation of ... practice in the state of practice + Current CPR certification + One (1) year of recent experience as...acute care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- ChenMed (Decatur, GA)
- …needed. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions, ... state and federal insurance programs formulary inclusions, programs for Medicare/ Medicaid . + Familiarity with appropriate local, state, and federal pharmacy-related… more