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Reimbursement Case Manager Jobs in Decatur, GA (NOW HIRING)

Elevance Health

Nurse Case Manager Lead

Atlanta, GA · On-site

Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers ... Case manager certification required within 3 years of starting in this role. Preferred Skills ...

The GEO Group

CASE MANAGER

Lovejoy, GA · On-site

$24.61/hr

... Reimbursement • Employee Discount • Reduced Tuition Rates • Disability Insurance • Employee ... From the development of state-of-the-art facilities and the provision of management services and ...

UHS

Social Worker/Case Manager (MSW)

Atlanta, GA

$21 - $27.50/hr

Responsibilities Case Manager/Social Worker (MSW) Peachford Hospital is a 246-bed, acute care ... Tuition Reimbursement * Short Term and Long Term Disability * CEUs * Life Insurance Peachford ...

WellStar Health System

RN Case Mgr Hospice

Austell, GA · On-site

The Hospice RN Case Manager utilizes the nursing process (assess, plan, implement, evaluate) to ... Mileage reimbursed. Core Responsibilities and Essential Functions: Provides ongoing patient care ...

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Reimbursement Case Manager information

See Decatur, GA salary details

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$36

How much do reimbursement case manager jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for reimbursement case manager in Decatur, GA is $20.98, according to ZipRecruiter salary data. Most workers in this role earn between $16.30 and $22.84 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a reimbursement case manager?

To thrive as a Reimbursement Case Manager, you need a solid understanding of healthcare reimbursement processes, insurance policies, and medical billing, often supported by a background in nursing, social work, or healthcare administration. Familiarity with claims management systems, electronic health records (EHRs), and payer portals is typically required, and certifications like CCM (Certified Case Manager) can be advantageous. Strong communication, problem-solving, and organizational skills help you effectively advocate for patients and collaborate with providers and payers. These competencies ensure accurate reimbursement, compliance, and optimal patient outcomes in a complex healthcare environment.

How does a reimbursement case manager typically collaborate with healthcare providers and insurance companies to resolve patient billing issues?

Reimbursement Case Managers act as key liaisons between healthcare providers, patients, and insurance companies to ensure that claims are processed accurately and efficiently. They regularly communicate with medical staff to collect necessary documentation, clarify coding, and verify treatment details. Additionally, they work closely with insurance representatives to address denials, appeal decisions, and troubleshoot payment delays. This collaborative approach requires strong communication skills and a deep understanding of both clinical and insurance processes.

What is the difference between Reimbursement Case Manager vs Claims Specialist?

AspectReimbursement Case ManagerClaims Specialist
CredentialsTypically requires healthcare or insurance-related certificationsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare facilities, insurance companies, or managed care organizationsInsurance companies, third-party administrators, or healthcare providers
Job FocusManaging reimbursement processes, verifying coverage, and resolving billing issuesProcessing claims, reviewing documentation, and ensuring accurate claim submission

Reimbursement Case Managers and Claims Specialists both work within the healthcare and insurance industries, focusing on financial aspects of patient care. While Reimbursement Case Managers primarily handle reimbursement processes and coverage verification, Claims Specialists concentrate on processing and reviewing insurance claims. Both roles require knowledge of insurance policies and healthcare billing, but their daily tasks and focus areas differ slightly.

What does a reimbursement case manager do?

A reimbursement case manager reviews and processes insurance claims and reimbursement requests, ensuring accuracy and compliance with policies. They communicate with clients, healthcare providers, and insurance companies, often using case management software, to resolve issues and facilitate timely payments.

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For Reimbursement Case Manager jobs in Decatur, GA, the most frequently searched job titles are:

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The top searched job categories for Reimbursement Case Manager jobs in Decatur, GA are:

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Cities near Decatur, GA with the most Reimbursement Case Manager job openings:

Reimbursement Case Manager jobs near you
Infographic showing various Reimbursement Case Manager job openings in Decatur, GA as of August 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $43,641 per year, or $21 per hour.

Hospice Case Manager (RN)

Integrity Placement Group

Stone Mountain, GA • On-site

$93K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

Hospice / Registered Nurse / Case Manager
We have recently engaged with a very progressive, well run and financially stable Hospice organization in the Gwinnett area of Georgia. They are a family-owned organization that is committed to patient satisfaction, clinical excellence, and quality care for each member of the family.
Our client is offering the following benefits:
  • Annual Salary: $85,000-$93,000
  • Health Insurance-Employer Pays up to 72% of Premium.
  • Dental And Vision Insurance
  • Mileage Reimbursement-$0.50 Per Mile
  • PTO-80 Hours in Your First Year
  • Paid Holidays-6 Federal, 2 Floating Holidays
  • Retirement Package: 401(k) with 3% Match
  • Supplemental Coverage-Life Insurance, Short/Long Term Disability, etc.

Responsibilities:
  • The RN Case Manager Will Maintain a Case Load of About 12-14 Patients
  • Monday- Friday 8am to 5pm
  • Patients Per Day-4 on Average
  • Coverage Area- Gwinnett, Stone Mountain, Clarkston, Tucker, Chamblee and Lilburn
  • The RN Case Manager Will be Responsible for Back-up Call

Requirements:
  • Registered Nurse in the State of Georgia
  • 1 year of Hospice or Palliative Care Experience-Preferred
  • 2 years of in-Home Patient Care Experience-Required
  • Familiarity with EMR System KanTime-Preferred

Please apply HERE
or
send updated resume to cgeraci@theipgteam.com
Integrity Placement Group logo

About Integrity Placement Group

Sourced by ZipRecruiter

Integrity Placement Group, based in Sarasota, Florida, United States, is a distinguished player in the healthcare recruitment sector. Their specialty lies in finding the most suited professionals for medical, nursing, and executive roles in the healthcare industry. They are reputed for their precision placement, which results from a refined process of understanding both the prospective candidates and the hiring organization’s values and expectations. The company's mission is to help healthcare organizations achieve their goals by providing qualified candidates who align with their culture and values. Their site, integrityplacementgroup.com, is considered a key portal for healthcare professionals seeking career growth and companies in need of recruitment solutions.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Sarasota, FL, US

Year founded

2017

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