Payer Jobs in Atlanta, GA

Shakti Solutions - Atlanta, GA, United States

record and solid domain experience in Health Insurance/Payer. Candidate must have a deep understanding of end-to-end claims processing, benefits setup, plan setup, provider network, accumulators

from: linkedin.com - 4 days ago

Children's Healthcare of Atlanta - Atlanta, United States

and third parties (home health, third party payers, pharmacies, and other resources) to identify and resolve potential barriers. Performs outpatient and clinic care coordination and monitors patients' care

from: us.lifeworq.com - Yesterday

Children's Healthcare of Atlanta - Atlanta, United States

communication with patient/family, interdisciplinary staff and third parties (home health, third party payers, pharmacies, and other resources) to identify and resolve potential barriers. Facilitates clinical

from: us.lifeworq.com - Yesterday

Bluebird Staffing - Atlanta, GA, United States

are being selected - Demonstrates an expert knowledge of hospital outpatient coding guidelines, medical terminology, anatomy/physiology, and payer specific coding guidelines. Understands reimbursement

from: linkedin.com - 11 days ago

Guidehouse - Atlanta, United States

Job Family: Finance & Accounting Consulting Travel Required: Up to 25% Clearance Required: None What You Will Do: Guidehouse is building out increased actuarial capabilities into its provider/payer

from: us.lifeworq.com - 2 days ago

Kaiser Permanente - Atlanta, United States

, and have the ability to tolerate frequent interruptions and a demanding work load. Functional knowledge of computers. Experience with managed health care delivery including Medicare. Experience in a payer environment

from: us.lifeworq.com (+1 source) - 3 days ago

US Tech Solutions - Atlanta, GA, United States

Primary responsibilities include the following: Conduct Health Economics and Outcomes Research projects under the supervision of the manager to support the Value Proposition to Regulators, Payers

from: linkedin.com - 9 days ago

UnitedHealth Group - Atlanta, GA, United States

and accreditation requirements. Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Works with clinical staff to coordinate

from: linkedin.com - 2 days ago

Piedmont Healthcare Corporate - Atlanta, Georgia

of medical coding, case management, government and contracted payers. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Current Georgia nursing licensure. ADDITIONAL QUALIFICATIONS: Experience in clinical

from: resume-library.com - 2 days ago

LaSalle Network - Atlanta, GA, United States

guidelines and payer requirements Work closely with neurosurgeons, clinical staff and billing teams to clarify documentation and resolve coding-related issues Stay informed about updates and changes to coding

from: linkedin.com - 10 days ago