Griffin, GA · On-site
... recovery by providing quality behavioral health services and supports. Summary Under general to ... Post incoming Carelon Files with Registrations, authorizations and discharges. Research and ...
Griffin, GA · On-site
... recovery by providing quality behavioral health services and supports. Summary Under general to ... Post incoming Carelon Files with Registrations, authorizations and discharges. Research and ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Indianapolis, IN · On-site
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Indianapolis, IN · On-site
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
New Hyde Park, NY · On-site
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
New Hyde Park, NY · On-site
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Norfolk, VA · On-site
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Norfolk, VA · On-site
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Woodbridge, NJ · On-site
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Woodbridge, NJ · On-site
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Annapolis, MD · On-site
$50K - $55K/yr
Maintain compliance with COMAR, HIPAA, Carelon BH guidelines, and CARF standards What You'll Bring ... recovery is possible and personhood is central. If that sounds like you, apply today! To apply:
Quick apply
Annapolis, MD · On-site
$50K - $55K/yr
Maintain compliance with COMAR, HIPAA, Carelon BH guidelines, and CARF standards What You'll Bring ... recovery is possible and personhood is central. If that sounds like you, apply today! To apply:
Grand Prairie, TX · On-site
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
Grand Prairie, TX · On-site
$115K - $207K/yr
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary ...
$11.78 - $13
14% of jobs
$13 - $14.23
5% of jobs
$14.84 is the 25th percentile. Wages below this are outliers.
$14.23 - $15.45
12% of jobs
$15.45 - $16.67
18% of jobs
The median wage is $16.75 / hr.
$16.67 - $17.90
17% of jobs
$18.64 is the 75th percentile. Wages above this are outliers.
$17.90 - $19.12
15% of jobs
$19.12 - $20.35
10% of jobs
$20.35 - $21.57
4% of jobs
$21.57 - $22.79
3% of jobs
$22.79 - $24.02
1% of jobs
$24.02 - $25.24
1% of jobs
$11
$17
$25
Other
Posted 9 days ago
About McIntosh Trail
At McIntosh Trail Community Service Board, we offer individuals experiencing symptoms associated with mental illness, addictive disease and/or developmental disability the hope for optimal functioning and recovery by providing quality behavioral health services and supports.
Summary
Under general to limited supervision, the Quality Assurance Specialist will perform professional and administrative work coordinating and implementing a quality assurance program in a facility providing specialized or community-based services or assisting with the implementation of an intense quality assurance program of substantial scope and complexity for persons with mental illness and/or developmental disabilities.
Responsibilities
Ensures accurate and timely processing of authorizations.
Post incoming Carelon Files with Registrations, authorizations and discharges.
Research and resolves rejections.
Communicates correction instructions with staff, re-submits files when updated.
Submits OTRs in GAMMIS and monitors for same day service needs.
Checks portals for authorization updates.
Minimum Qualifications
High School Diploma
1-2 years of experience in healthcare quality assurance or administration.
Strong attention to details and communication skills
Proficiency in Microsoft Excel, GAMMIS, payer portals and electronic health records.
Preferred Qualifications
Associate or bachelor's degree
Sourced by ZipRecruiter
Health care and social assistance
201 - 500 Employees
Griffin, GA, US
1993
