Jobs in Conley Georgia

2,181 positions found — Page 98

Data Entry Clerk II
Salary not disclosed
Atlanta 6 days ago
Job Title: Data Entry Clerk II Location: Fully Remote in Albuquerque, NM Duration: 03+ months (possible extension) Shift: Mon
- Fri 8 am to 5 pm Must live in New Mexico and work MT zone Job Description: Must live in New Mexico and work MT zone Will need dual monitors and a docking station This job performs primarily intake and data entry functions.

Reports must be entered into the internal and external systems.

Incoming reports must be reviewed for correctness.

Errors in reports received must be corrected.

Written and verbal communication with internal and external stakeholders is required.

Data entry using Excel is required.

Must Have Skills: English reading, speaking, and writing proficiency Associates level college degree minimum Understanding of patient confidentiality laws related to personal health information Keyboarding skills Computer literacy Customer service skills and phone etiquette Email etiquette Comfortable with using Microsoft office applications and MS Teams Time management Day to Day Responsibilities: Ongoing communication and collaboration within a team framework Online report access and review Access to multiple internal and external platforms simultaneously for online report access and review, data search, and report correction.

Data entry is required Calling agencies for report clarifications or report submission.

Providing education in Critical Incident reporting.

Email communication with internal and external stakeholders.

Data analysis skills are a plus Required Years of Experience: 1 – 2 years Required Licensure / Education: Associates degree minimum
Not Specified
Medicare Representative II {167877}
Salary not disclosed
Atlanta 6 days ago
Job Title: Medicare Representative II {167877} Start Date: May 11, 2026 Pay Rate: $20.28/hr Schedule Working Hours: Monday – Friday between 7:00 AM – 8:00 PM CST Weekend Rotation Required Training Schedule: Monday – Friday 8:00 AM – 4:30 PM CST Schedule flexibility required for evenings, weekends, and holiday coverage.

Position Overview The Medicare Representative II works closely with healthcare providers to process prior authorizations (PA) and drug benefit exception requests in accordance with Medicare Part D CMS regulations on behalf of the client.

This role requires reviewing requests, gathering additional information from providers, and ensuring all coverage determinations are processed accurately and in compliance with regulatory guidelines.

Representatives must apply plan criteria using internal systems and documented work instructions while maintaining high-quality customer service.

Key Responsibilities Process prior authorization (PA) and drug benefit exception requests for Medicare Part D members.

Review and apply plan criteria using internal systems and work instructions.

Conduct research and contact healthcare providers via phone to obtain necessary clinical or administrative information.

Accurately document and complete all required steps to resolve and close cases .

Identify and correct issues within the processing workflow.

Provide phone assistance to initiate or resolve coverage requests.

Escalate complex cases to Coverage Determinations and Appeals clinical pharmacists and management when necessary.

Ensure strict compliance with CMS regulations, department standards, and internal policies .

Maintain high levels of accuracy, productivity, and quality assurance standards .

Required Skills & Competencies Healthcare & Call Center Experience Demonstrated ability to manage high workloads in healthcare call centers or healthcare-related environments.

Familiarity with insurance plans including Commercial, Medicare, and Medicaid.

Understanding of pharmacy benefit management (PBM) processes is preferred.

Technical Proficiency Strong computer skills with the ability to navigate multiple software systems simultaneously.

Comfortable working within various internal databases and case management tools.

Communication Skills Excellent verbal and written communication skills.

Strong active listening and problem-solving abilities.

Professional, empathetic communication style when interacting with healthcare providers and patients.

Analytical & Problem-Solving Skills Ability to analyze case details and determine appropriate next steps.

Strong attention to detail and accurate data entry skills to maintain compliance and avoid processing errors.

Work-From-Home Readiness Comfortable working independently in a remote environment.

Experience using collaboration tools such as: Microsoft Teams Video conferencing platforms Email and messaging tools Must be webcam-ready when required.

Technical Requirements (Remote Work) Employees must maintain a dedicated home workspace with: Wired Ethernet connection required (Wi-Fi not permitted) Reliable internet service with minimum speeds: 25 Mbps download 5 Mbps upload Compliance & Professional Expectations Strict adherence to HIPAA regulations and patient privacy standards.

Maintain compliance with CMS guidelines and internal procedures.

Follow company attendance policies and remain fully engaged throughout scheduled shifts without personal distractions.

Minimum Qualifications 2+ years of healthcare or healthcare call center experience, including: Problem resolution Business writing Customer service Quality improvement processes 6 months of remote/virtual work experience where the supervisor is not physically present 6 months of high-volume call center experience (required) 6 months of PBM or pharmaceutical-related experience (strongly preferred)
Not Specified
Senior Vice President – Equipment Finance
Salary not disclosed
Atlanta 6 days ago
Stellar Consulting Solutions is a boutique business and technology consulting company headquartered in Atlanta, GA.

We deliver high quality, agile, and experienced workforce for niche technology projects of any scale.

We help forward thinking clients to solve specific problems by understanding their needs and align talent that can move fluidly to match skill supply and demand on a real-time basis.

Stellar Consulting has a unique combination of technical and digital skills to recruit, engage, and retain qualified talent.

We have a stellar reputation for striving to achieve high ethical standards.

Our use of Innovative techniques and industry best practices has made us one of the fastest growing boutique firms delivering to enterprise business.

Role: SVP Equipment Finance (Remote) Location: Remote
- West Coast Job Type: Full Time Opportunity We are looking for an experienced Senior Vice President Equipment Finance to drive new business growth and build strong relationships with corporate clients.

This role focuses on identifying companies that require equipment financing, structuring financial solutions, and managing long-term client relationships.

Key Responsibilities Identify and develop new business opportunities with companies needing equipment financing.

Build and maintain relationships with senior executives (CFOs, CEOs) at target companies.

Structure and close equipment finance and leasing transactions.

Work closely with internal teams such as credit, legal, and operations to execute deals.

Manage existing client relationships and identify additional financing opportunities.

Contribute to sales strategy and market expansion.

Provide feedback on new financial products and solutions based on customer needs.

Requirements Bachelor's degree or equivalent experience.

10 years of experience in equipment finance, leasing, or asset-based lending.

Strong track record in business development and client relationship management.

Experience working with senior-level executives.

Knowledge of asset-backed financing and capital equipment industries.

Strong negotiation and deal structuring skills.

Willingness to travel up to 50% for client meetings.
Not Specified
Remote Healthcare Billing A/R Representative {167583}
🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Atlanta, Remote 6 days ago
JOB DESCRIPTION M-F 8:30-5p EST Remote Pay Rate $17/hr Key responsibilities will include: Receive payment denials, investigate the reason and rectify the situation with the payer or patient Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts Provide written correspondence to audit requests to include investigations and obtain appropriate documentation Document status of billing and payment process in patient account for future follow-up Remain current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer Answer and follow up on calls from patients with billing questions Complete all end of month reports as requested, directed or assigned Complete all internal system service ticket requests as assigned Maintains a production level between 20-40 accounts per day ensuring quality of work is above average Production rates are at the discretion of management and are subject to change with our without prior notification.

Maintains a better than average attendance score.

About you: To be successful in this role, you require: Minimum High School Diploma or general education degree (GED) Minimum two years prior medical supply billing experience and/or a minimum of one year prior experience as an AR Billing Representative Language: Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools in English Ability to write internal and external business correspondence Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages Ability to apply intermediate math skills Ability to solve practical problems and deal with a variety of variables.

Advanced analytical reasoning to include ability to forecast exponentials within work flow processes and reason uisng outside factors.

Knowledge of Microsoft Office Applications, Access or other database software; and ability to learn telecommunications software WORK REQUIREMENTS Ability to work some evening shifts, weekends, and overtime as needed
Remote working/work at home options are available for this role.
Not Specified
Need || Senior Java Developer - Finance Domain Clients || Local to NC || USC, GC and EADs
Salary not disclosed
Atlanta 6 days ago
Hello all, Hope you are doing well.

Please have a look at the JD below for the position of SeniorJava Developer for one of our clients, if you have a relevant profile please share it with me.

Job Title: Senior Java Developer Job Location: Charlotte, NC
- Hybrid Interview is F2F.

Must Have: Finance / Payments Domain Microservices.

Kafka MongoDB Spring Boot Job Description: We are seeking a highly experienced Senior Java Developer with strong expertise in Spring Boot, Microservices, Kafka, and MongoDB, ideally with a background in Payments or Financial Services.

The ideal candidate will be responsible for designing and developing scalable, secure, and high-performance applications that support mission-critical payment processing systems.

You will collaborate with cross-functional teams including Architecture, QA, DevOps, Business Analysts, and Product Owners to deliver enterprise-grade solutions that comply with financial industry standards.

Key Responsibilities Design, develop, and maintain Java-based microservices using Spring Boot with a strong focus on modularity, scalability, and performance.

Build event-driven distributed systems using Kafka, including topics, partitions, consumer groups, and streaming pipelines.

Work with MongoDB to design schemas, implement queries, optimize performance, and ensure data integrity.

Develop secure and fault-tolerant components for payment processing, including transaction workflows, settlements, reconciliation, and real-time validations.

Integrate microservices with internal and external payment gateways, APIs, and third-party financial systems.

Participate in architecture discussions, code reviews, and contribute to best practices, standards, and design patterns.

Troubleshoot production issues and provide Level-3 support for high-availability systems.

Ensure compliance with financial regulations, security standards, and audit requirements.

Required Skills and Experience 10 years of hands-on experience in Core Java, OOPs, multithreading, collections, and concurrency.

Strong experience with Spring Boot, Spring Cloud, Spring Security, and REST API development.

Deep understanding of Microservices Architecture, service discovery, load balancing, API gateways, and resilience patterns (Circuit Breaker, Retry, Bulkhead).

Hands-on experience with Kafka (producers, consumers, schema registry, Kafka Streams).

Strong experience with MongoDB (schema design, indexes, aggregation framework, performance tuning).

Experience in developing applications within payments, banking, or financial services domain.

Familiarity with secure coding practices, PCI-DSS guidelines, OAuth 2.0/JWT, encryption, and tokenization.

Knowledge of CI/CD pipelines, Git, Jenkins, Docker, Kubernetes (good to have).

Experience working in Agile environments with cross-functional teams.

Nice to Have Experience with cloud platforms (AWS, GCP, or Azure).

Exposure to Redis, ELK, OpenShift, GraphQL, or gRPC.

Experience with high-throughput, low-latency system design.

Microservices, MongoDB, Java
Not Specified
Sr Software Quality Engineer - Remote
Salary not disclosed
Atlanta, Remote 6 days ago
DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm.

Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations.

Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.

Visit us at to learn more and view our open positions.

Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact our Talent Specialist, Hema at (63 or Sri at (63 Title: Sr Software Quality Engineer
- Remote Duration: 6 Months Location: Remote Only W2 candidates are eligible for this position.

Third-party or C2C candidates will not be considered.

Description: Summary: The main function of a quality engineer is to research and test the design, functionality and maintenance of products, equipment, systems and processes and develop quality standards.

A typical quality engineer has the ability to read and interpret blueprints, and evaluate product integrity and standards.

Job Responsibilities: Devises sampling procedures and designs and develops forms and instructions for recording, evaluating, and reporting quality and reliability data.

Establishes program to evaluate precision and accuracy of production equipment and testing, measurement, and analytical equipment and facilities.

May write training material and conduct training sessions on quality control activities.

May specialize in areas of quality control engineering, such as design, incoming material, process control, product evaluation, product reliability, inventory control, metrology, automated testing, software, research and development, and administrative application.

Skills: Creativity, verbal and written communication skills, analytical and problem solving ability.

Team player and detail oriented.

Basic ability to read and interpret blueprints, technical drawing, schematics and computer-generated reports.

Basic experience with computer applications and software related to engineering field, such as Computer Aided Design (CAD).

Education/Experience: Bachelor's degree in engineering required.

2-4 years experience required.

About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond.

The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.

DivIHN is an equal opportunity employer.

DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.

Team Player, computer applications, Computer Aided Design (CAD), Creativity
Remote working/work at home options are available for this role.
Not Specified
Entry-level Administrative Assistant
Salary not disclosed
Atlanta 6 days ago
Position Summary Beacon Hill is seeking an Entry‑Level Administrative Assistant to support front‑office operations in a Law Firm with a strong emphasis on facilities coordination, hospitality, and reception support.

This role is critical to maintaining a professional, welcoming, and well‑organized office environment and requires consistent ownership of daily administrative and operational tasks.

The ideal candidate enjoys administrative work, takes pride in maintaining an orderly workspace, and is looking for a stable, long‑term receptionist/administrative role, rather than a short‑term stepping‑stone position.

Position Details Job Type: Full-time, Contract‑to‑Perm Pay Rate: $20-$23 per hour Schedule: 35-hour work week | Monday-Friday (9:00 AM-5:00 PM or 8:30 AM-4:30 PM with one-hour unpaid lunch) Work Arrangement: Onsite Start Date: After interview Key Responsibilities Reception & Front Office Support Serve as the primary front‑desk contact, answering phones and greeting visitors Manage general office inquiries and visitor access Handle incoming mail, packages, faxes, and courier coordination Assist with copying, printing, binding, labeling, and mailing tasks Facilities & Office Operations Oversee day‑to‑day facility operations and office upkeep Ensure lobby, reception areas, conference rooms, kitchen, and common areas remain clean, organized, and stocked Maintain copiers and printers, including paper refills, toner orders, and service calls Coordinate office cleaning, maintenance, and vendor services Monitor HVAC, plumbing, and electrical issues and report concerns as needed Support emergency preparedness, safety procedures, and office compliance efforts Administrative & Operational Support Assist with new hire onboarding and office access setup Review and process operational invoices and expense documentation Support monthly reconciliations of office credit cards and prepaid accounts Manage parking requests, validations, and related invoices Order business cards, access badges, and office credentials for new hires Provide backup support for records and document management Conference Services & Hospitality Coordinate conference room setup for meetings and special events Ensure conference rooms are properly arranged and supplied Manage hospitality arrangements for visiting employees and guests Coordinate catering, refreshments, and VIP reception events Assist with audio/visual setup for meetings and conference calls Additional Support Provide overflow administrative support as part of a shared administrative resource team Assist with ad hoc administrative, operational, and facilities projects as needed Systems & Tools Microsoft Office / Microsoft 365 (Outlook, Word, Excel, PowerPoint) Document and records management systems Office equipment and conference room technology Qualifications College degree preferred Entry‑level administrative or receptionist experience preferred Strong organizational skills and attention to detail Ability to manage multiple priorities and shift focus as needed Professional verbal and written communication skills Reliable, proactive, and service‑oriented mindset Comfortable owning recurring tasks and daily responsibilities Proficiency with Microsoft Office applications Accurate typing and strong grammar skills What This Role Offers Stable contract‑to‑perm opportunity Predictable 35‑hour work week High‑visibility front‑office role Strong focus on facilities, hospitality, and office operations Collaborative, professional onsite environment If you enjoy being the welcoming face of an office and keeping day‑to‑day operations running smoothly, apply today.

Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.

California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment.

This form will be used for reporting purposes only and will be kept separate from all other records.

Company Profile: Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.

Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries.

Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.

Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting .

Benefits Information: Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility.

Upon successfully being hired, details will be provided related to our benefit offerings.

We look forward to working with you.

Beacon Hill.

Employing the Future (TM)
Not Specified
Marketing Project Manager
Salary not disclosed
Atlanta 6 days ago
Pay Rate: $35
- 40/hr Department Requesting Resource Initiative: Corporate Marketing Programmatic need being met by this request: The Project Manager will ensure operational continuity, timeline adherence and scalable delivery for the Corporate Marketing team handling multiple priorities in a deadline-driven environment.

Where the work will be performed: Remote General Guidance for Expected Years of Experience: 3-6 years What skills are needed to be successful in this role? Strong project management and organizational skills with the ability to manage multiple concurrent marketing initiatives Ability to track timelines, dependencies, and deliverables across internal teams and external vendors Excellent written and verbal communication skills, including meeting documentation and stakeholder follow-up Detail oriented with strong quality control mindset for marketing assets and approvals Ability to prioritize competing requests in a high-volume environment Experience working in cross-functional teams and navigating multiple stakeholders Basic understanding of marketing workflows Strong analytical mindset to support reporting and performance tracking Are there any specialized skills that must be present for the position to be successful? Experience coordinating marketing campaigns or communications initiatives Familiarity with intake processes and workflow management systems Ability to interpret marketing metrics and support reporting dashboards Vendor coordination experience Understanding of residential or consumer-focused marketing programs preferred Education, Certifications, Degree requirements Minimum of Associate's degree required Bachelor's preferred Concentration in marketing, communications, writing, or similar field preferred IT systems that will be used Project Management Tool (Lythos), Office 365 (SharePoint, OneDrive, Teams, Word, Excel, PowerPoint, OneNote), Salesforce, Adobe Acrobat (PDF), Google GA4 Analytics Project Manager, Marketing Project Manager
Not Specified
Training Coordinator - Hybrid
🏢 DivIHN Integration Inc
Salary not disclosed
Atlanta, Hybrid 6 days ago
DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm.

Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations.

Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.

Visit us at to learn more and view our open positions.

Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact our Talent Specialist, Abdul at (224) 507-1295 Title: Training Coordinator
- Hybrid Duration: 12 Months Location: Charlotte, NC, Schedule: 3 days in office, 2 days remote Only W2 candidates are eligible for this position.

Third-party or C2C candidates will not be considered.

Description: Reports to: Manager, Customer Education Purpose of Position: The Global Marketing Customer Education and Programs Team is responsible for delivering best in class, industry-leading Marketing Programs and Customer Education.

These programs and trainings deliver product awareness, solutions, and services through both hands-on and virtual educational offerings extending Client's Customers and Program Members product preference and brand loyalty.

The Training Coordinator, Customer Education will be responsible for supporting Customer Education initiatives such as supporting program members, training/alliance partners, and other applicable customers in the In-Building, Data Center, and Carrier Markets.

This person will take direction from the Manager, Customer Education to develop the annual education plan for USCAN.

They will project lead the development of class content, marketing materials, and class scheduling to ensure that the education plan is aligned with business strategy and is successfully executed.

The Customer Education team has a global footprint, and this role will be expected to have a cross-regional approach to ensure trainings and content within is supported uniformly within each region.

We support each other collectively to assist in team development, cross training and execution of events is vital! Additionally, is the expectation for cross-functional team support for paid classes, hands-on seminars, and field-level events.

Experience in marketing, customer service, and event management is recommended.

Fiber optic knowledge and training experience is helpful.

Major Roles and Responsibilities Growth and maintenance for customer training program that promotes and supports global marketing initiatives across markets and solutions.

Collaborate with Channel Marketing, Regional Marketing, Sales Engineers, Product Line Managers, and Engineering Services to identify Customer Education needs and future opportunities with a specific market audience.

With the direction and strategy from the Manager, Customer Education, develop and project manage Training Events both live and virtual to support the overall In-Building Network (IBN), Data Center and Carrier (CN) Sales strategy.

Collaborate with subject matter expects in Systems Engineering, Field Engineering, Application Engineers, and Regional/Applications Marketing regarding content and instructional design and develop or source training content and curriculum.

Work with Engineering Services and Field Engineering to build and maintain product samples and equipment to support class curriculum.

Collaborate with Distribution Branch Managers and Sales Engineers nationwide to coordinate logistics for live education classes.

Build promotional campaigns through marketing tools such as social media, marketing automation software and traditional inbound and outbound campaigns to support promotion of customer education events.

Maintain certifications and customer/program education records and report on results from Customer Education program.

Work with event planning software (Cvent) to set up accurate event registration/promotion, registration and after event reporting.

Establish and build relationships with external suppliers as needed.

Operate within a specified customer education budget.

Be available to provide basic customer support for program members.

Help maintain and develop program databases and processes to continually improve the training program.

As a representative of Client Optical Communications, ensure that you convey the highest level of integrity in behavior and appearance and help to fulfill all customer expectations as a premier supplier.

Skill and Knowledge Requirements: Education Requirement: BS/BA Marketing, Communications, or equivalent degree Required Experience: 2 years in marketing, communications, event planning or related experience Experience with instruction or training coordination and/or delivery preferred Desire to work with and learn software and cloud applications Required Skills: Planning and organizing Strong interpersonal skills Data gathering and analysis Problem analysis and problem solving Attention to detail Resourcefulness Basic knowledge and understanding of fiber optic networks What type of software will be used? Presentation Software (PowerPoint/Presenter) Microsoft Office SharePoint Marketing Automation Software (Marketo) Webinar Delivery Systems (AdobeConnect and WebEx Event Center) Social Media Platforms (LinkedIn) Event Planning Software (Cvent) This position does not support immigration sponsorship.

About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond.

The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.

DivIHN is an equal opportunity employer.

DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.

Planning and Organizing, Problem Analysis and Problem Solving, Data Gathering and Analysis
Remote working/work at home options are available for this role.
internship
ProFee coder/Radiology Coder
Salary not disclosed
Atlanta 6 days ago
Position Summary: Under the direction of the Coding Compliance Manager, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for charge processing.

This role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement, as well as ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to each patient.

Essential Duties: -Possess analytical skills.

-Possess critical thinking and problem-solving skills.

-Solid understanding of the health care revenue cycle.

-Strong communication skills with the ability to communicate information accurately and clearly.

-Provide excellent customer service.

-The ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams.

-Detail oriented.

-Strong work ethic, honest, and dependable.

-Collaborative team player with the ability to adapt to the ever-changing healthcare environment.

-Professional demeanor at all times.

-Maintain patient confidentiality.

-Maintain a safe and orderly work area.

-Personal time management skills – the ability to organize, prioritize, and multitask.

-Achievement of productivity standards as established by management.

-Achievement of quality standards as established by management.

-Analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient and/or outpatient medical records according to established coding guidelines.

-Follow established workflow for working claim denials in the Follow-Up work queues and identify opportunities for billing/coding improvements.

-Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.

-Optimization opportunities include, but are not limited to, work in the Follow-Up and Claim Edit work queues and analyzing denial trends.

-Follow Coding Compliance department branding standards when communicating with clinical partners and fellow business center teams, and work collaboratively with Physician Billing Services -Insurance and Customer Service Representatives to solve billing and coding issues.

-Perform monthly coding change report analysis/oversight on provider coding change trends and communicate/educate providers, as needed.

-Work weekly Missing Charge Reports to identify missed billable charges to maximize reimbursement.

-Be at work and be on time.

-Follow company policies, procedures and directives.

-Interact in a positive and constructive manner.

-Prioritize and multitask.

-Other duties as assigned.

Required Skills & Experience: -Three (3) years’ experience working in a hospital or physician’s office as a medical coder and interacting with physician.

-Expert knowledge of ICD10, CPT and HCPCS.

-Strong knowledge of medical terminology, anatomy and physiology.

-Proficient Microsoft skills.

Preferred Skills & Experience: -Epic software experience.

Required Education: -High school diploma or GED.

Preferred Education: -Associate's degree.

Required Certifications & Licensure: -CPC, CCS or equivalent certification offered by the AAPC and AHIMA.

Must reside in California (role will transition to FTE) Minimum 3 years of experience as a physician/professional fee coder Strong expertise in diagnostic radiology coding and bundling rules Radiology experience required Knowledge of charge submission within EPIC ProFee coding only – No HCC coders CPC or CCS cert required Position Summary:
Not Specified
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