Quality Assurance Specialist
Griffin, GA · On-site
... GAMMIS, payer portals and electronic health records. Preferred Qualifications • Associate or bachelor's degree
Quality Assurance Specialist
Griffin, GA · On-site
... GAMMIS, payer portals and electronic health records. Preferred Qualifications • Associate or bachelor's degree
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 ...
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 ...
Utilization Management Specialist
Athens, GA · On-site +1
$45K - $48K/yr
Downloads approved authorizations from GAMMIS portal * Batches and loads ASO authorization requests and response files * Completes concurrent ASO authorization requests for Outpatient clinics
Utilization Management Specialist
Athens, GA · On-site +1
$45K - $48K/yr
Downloads approved authorizations from GAMMIS portal * Batches and loads ASO authorization requests and response files * Completes concurrent ASO authorization requests for Outpatient clinics
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Bookkeeper (Accounts Receivable/ Accounts Payable)
Atlanta, GA · On-site
$43.68K - $52K/yr
Enter invoices into the Georgia Medicaid System (GAMMIS) * Assist with financial reports, budgeting and account analysis * Work closely with leadership and external accountants Qualifications: * 3-5 ...
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Bookkeeper (Accounts Receivable/ Accounts Payable)
Atlanta, GA · On-site
$43.68K - $52K/yr
Enter invoices into the Georgia Medicaid System (GAMMIS) * Assist with financial reports, budgeting and account analysis * Work closely with leadership and external accountants Qualifications: * 3-5 ...
Submit and track Medicaid applications via Gateway and GAMMIS * Guide families through documentation and spend down requirements * Coordinate with Medicaid caseworkers and state agencies for ...
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Submit and track Medicaid applications via Gateway and GAMMIS * Guide families through documentation and spend down requirements * Coordinate with Medicaid caseworkers and state agencies for ...
Verify insurance eligibility through systems such as Availity, GAMMIS, or Xferral. Client Care & Therapeutic Engagement (CSU & PES) * Greet clients, families, and law enforcement partners upon ...
Verify insurance eligibility through systems such as Availity, GAMMIS, or Xferral. Client Care & Therapeutic Engagement (CSU & PES) * Greet clients, families, and law enforcement partners upon ...
Complete Gammis Forms and any necessary documentation required as a part of the assessment as needed. * Ensure documentation is submitted in Sharenote/InSYNC within 24hrs of service provided.
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Complete Gammis Forms and any necessary documentation required as a part of the assessment as needed. * Ensure documentation is submitted in Sharenote/InSYNC within 24hrs of service provided.
Submit and track Medicaid applications via Gateway and GAMMIS * Guide families through documentation and spend down requirements * Coordinate with Medicaid caseworkers and state agencies for ...
Submit and track Medicaid applications via Gateway and GAMMIS * Guide families through documentation and spend down requirements * Coordinate with Medicaid caseworkers and state agencies for ...
Submit and track Medicaid applications via Gateway and GAMMIS * Guide families through documentation and spend down requirements * Coordinate with Medicaid caseworkers and state agencies for ...
Quick apply
Submit and track Medicaid applications via Gateway and GAMMIS * Guide families through documentation and spend down requirements * Coordinate with Medicaid caseworkers and state agencies for ...
GAMMIS * Availity * Palmetto GBA Portal * Ensure timely completion of attestations and revalidations * Monitor provider licensure, certifications, and renewals to ensure ongoing compliance * Track ...
GAMMIS * Availity * Palmetto GBA Portal * Ensure timely completion of attestations and revalidations * Monitor provider licensure, certifications, and renewals to ensure ongoing compliance * Track ...
GAMMIS * Availity * Palmetto GBA Portal * Ensure timely completion of attestations and revalidations * Monitor provider licensure, certifications, and renewals to ensure ongoing compliance * Track ...
GAMMIS * Availity * Palmetto GBA Portal * Ensure timely completion of attestations and revalidations * Monitor provider licensure, certifications, and renewals to ensure ongoing compliance * Track ...
Must have experience in billing, Medicaid for the state of Georgia and familiar with Gateway and Gammis. * Medicare, Medicaid and Insurance Billing experience. * PointClickCare (PCC) - Intermediate ...
Must have experience in billing, Medicaid for the state of Georgia and familiar with Gateway and Gammis. * Medicare, Medicaid and Insurance Billing experience. * PointClickCare (PCC) - Intermediate ...
Verify insurance eligibility through systems such as Availity, GAMMIS, or Xferral. Client Care & Therapeutic Engagement (CSU & PES) * Greet clients, families, and law enforcement partners upon ...
Verify insurance eligibility through systems such as Availity, GAMMIS, or Xferral. Client Care & Therapeutic Engagement (CSU & PES) * Greet clients, families, and law enforcement partners upon ...
Verify insurance eligibility through systems such as Availity, GAMMIS, or Xferral. Client Care & Therapeutic Engagement (CSU & PES) * Greet clients, families, and law enforcement partners upon ...
Verify insurance eligibility through systems such as Availity, GAMMIS, or Xferral. Client Care & Therapeutic Engagement (CSU & PES) * Greet clients, families, and law enforcement partners upon ...
Precertification Associate I
Atlanta, GA · On-site
$14.25 - $19.50/hr
Educates provider regarding use of Gainwell Customer Service, GAMMIS, Medical Review Portal and Department of Community Health policies and procedures as needed. * Participate in Quality Improvement ...
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Precertification Associate I
Atlanta, GA · On-site
$14.25 - $19.50/hr
Educates provider regarding use of Gainwell Customer Service, GAMMIS, Medical Review Portal and Department of Community Health policies and procedures as needed. * Participate in Quality Improvement ...
Precertification Associate I
$14 - $19.25/hr
Educates provider regarding use of Gainwell Customer Service, GAMMIS, Medical Review Portal and Department of Community Health policies and procedures as needed. * Participate in Quality Improvement ...
Precertification Associate I
$14 - $19.25/hr
Educates provider regarding use of Gainwell Customer Service, GAMMIS, Medical Review Portal and Department of Community Health policies and procedures as needed. * Participate in Quality Improvement ...
Precertification Associate I
$14 - $19.25/hr
Educates provider regarding use of Gainwell Customer Service, GAMMIS, Medical Review Portal and Department of Community Health policies and procedures as needed. * Participate in Quality Improvement ...
Precertification Associate I
$14 - $19.25/hr
Educates provider regarding use of Gainwell Customer Service, GAMMIS, Medical Review Portal and Department of Community Health policies and procedures as needed. * Participate in Quality Improvement ...
Gammis information
What are the key skills and qualifications needed to thrive as a GAMMIS (Georgia Medicaid Management Information System) Specialist, and why are they important?
To thrive as a GAMMIS Specialist, you need expertise in Medicaid policies, claims processing, and healthcare billing, typically supported by experience in medical administration or healthcare IT. Familiarity with the GAMMIS platform, Medicaid Management Information Systems (MMIS), and related healthcare software is essential. Attention to detail, problem-solving abilities, and strong communication skills are crucial for effective collaboration with providers and resolving billing issues. These skills ensure accurate claims processing, compliance with regulations, and efficient support for healthcare providers.
What are Gammis?
GAMMIS stands for Georgia Medicaid Management Information System. It is an online portal used by healthcare providers and members in Georgia to manage Medicaid claims, check member eligibility, submit prior authorizations, and access important healthcare program information. GAMMIS helps facilitate efficient communication and processing between providers, members, and the Georgia Department of Community Health. Both providers and Medicaid recipients use the system for various administrative and clinical tasks related to Georgia Medicaid services.
What is the difference between Gammis vs Data Analyst?
| Aspect | Gammis | Data Analyst |
|---|---|---|
| Required Credentials | Typically no formal certification, but knowledge of industry-specific tools | Bachelor's degree in statistics, data science, or related field; often certifications like CAP or Microsoft Certified Data Analyst |
| Work Environment | Primarily on-site or remote, working with industry-specific data | Office or remote, analyzing data sets, creating reports |
| Employer & Industry Usage | Used in niche industries like manufacturing or logistics | Common across finance, marketing, healthcare, and tech sectors |
Gammis and Data Analysts both work with data, but Gammis roles are often industry-specific with less formal certification, while Data Analysts typically require relevant degrees and certifications. The roles may overlap in data handling but differ in scope and industry focus.
More about Gammis jobs
What states have the most Gammis jobs? States with the most job openings for Gammis jobs include:
What job categories do people searching Gammis jobs look for? The top searched job categories for Gammis jobs are:
State Of Georgia rating
7.5
Based on 82 frontline employees who took The Breakroom Quiz
32nd of 50 rated states
Job description
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
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
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