30 Payer Jobs in Gainesville, GA
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Population Health Pharmacy Supervisor Northeast Georgia Health System - Gainesville, GA, United States collaboratively with providers and payers to optimize medication regimens. Educate patients on their medications and health conditions and provide ongoing support to help patients achieve their health goals 8 days ago
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Network Engagement & Risk Coding Director Northeast Georgia Health System - Gainesville, GA, United States on the right set of initiatives to improve risk scores Shall develop and or identify quality, risk score and financial KPIs that reflect each provider’s contribution towards goals for all contracted payer 15 days ago
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Cardiac Device Specialist - Georgia Heart Institute - Full Time Northeast Georgia Health System, Inc - Gainesville, GA and participate in care coordination to ensure proper communication between caregivers, patients, referral sources and payers. Discuss operational issues and reviews records/documentation to ensure regulatory 4 days ago
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Pharmacy Technician - Population Health Northeast Georgia Health System, Inc - Gainesville, GA to troubleshoot issues affecting medication adherence or access. Provides follow up with pharmacies to verify patients pick up medications, closing care gaps Populates data into databases, payer portals, and other 10 days ago
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Customer Service Managed Care - In office National Vision - Lawrenceville, Georgia . Answers calls from third party payers and reviews line by line the details in order to determine customer's responsibility and insurance responsibility. Completes a high balance investigation to find new 2 days ago
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Research Regulatory Specialist Northeast Georgia Health System, Inc - Gainesville, GA . Knowledge of Medicare, Medicaid, and/or commercial payer guidelines. Provides ongoing education and updates to physicians, nurses and other health professionals regarding protocol activities, including 5 days ago
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Registered Nurse RN - Case Manager - Every Weekend 8:00am - 5:00pm Northeast Georgia Health System, Inc - Gainesville, GA in daily workflow. Maintain detailed knowledge of community resources, governmental regulations, third party payers (PPO/HMO's) to facilitate appropriate outcomes. Adheres to all regulatory and DNV 8 days ago
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PAR- Patient Collections FFAM360 Heathcare - Cumming, Georgia Responsibilities and Duties Collect outstanding patient balances Understand payer EOB's and plan benefits Set up payment plans Required Knowledge, Skills, and Abilities To perform this job successfully 12 days ago
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Patient Access Radiology Scheduler - Mon - Fri 9:00am - 5:30pm Northeast Georgia Health System, Inc - Gainesville, GA to meet medical necessity. Obtains complete and accurate insurance information and completes insurance verification by contacting patients, Physician offices and insurance/payer regarding the visit 8 days ago
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Analyst-Financial, Mgd Care Northeast Georgia Health System, Inc - Gainesville, GA performance. Supports multiple managed care functions, including but not limited to Epic data integrity, contract management system integrity, managed care contract negotiations, and managed care payer 10 days ago
Top locations
- Atlanta, GA (127)
- Lawrenceville, GA (7)
- Alpharetta, GA (4)
- Sandy Springs, GA (4)
- Athens, GA (3)
- Decatur, GA (3)
- Cumming, GA (3)
- Duluth, GA (3)
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