- Molina Healthcare (GA)
- …to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues ... or equivalency **REQUIRED EXPERIENCE:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a… more
- CVS Health (Atlanta, GA)
- …do it all with heart, each and every day. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the ... satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in providing our customers with prompt,… more
- Molina Healthcare (Augusta, GA)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- SUMMARY: We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for a ... Translate patient information and alphanumeric medical code entries. Electronic clean claims submissions to Insurance Carriers. Collect, post, and manage patient… more
- UIC Government Services and the Bowhead Family of Companies (Albany, GA)
- **Overview** Warehouse Specialist Supervisor (MCLC-2024-22041): Bowhead seeks to network with aWarehouse Specialist Supervisor to assist the Project/Warehouse ... regulations. + Perform other duties as assigned. **Qualifications** + Associate degree and High School Diploma or equivalent +...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Walgreens (Alpharetta, GA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Molina Healthcare (Atlanta, GA)
- …projects as assigned; and serves as a "mentor" to newly hired Associate Specialists. **Job Duties** + Processing Credentialing Applications * Evaluates credentialing ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing… more
- Acosta Group (Alpharetta, GA)
- Job Posting **Overview** The Associate is responsible for completing in-store food and non-food demonstrations. Acquires and maintains knowledge of products ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and service fees. + Assists with revenue cycle functions: billing issues, rejected claims , vendor payments. + Works with finance teams to maintain fee schedules and ... in both oral and written form + Preferred Qualifications Education - Associate 's Degree in business, English, history or Poly-Sci or related field Knowledge,… more
- HD Supply (Atlanta, GA)
- …including FMLA, ADA accommodations, disability, military leave, and life insurance claims , ensuring timely and accurate processing. + Monitors and escalates ... a culture that promotes equity, respect, and advocacy for every HD Supply associate . We value the diversity of our people. **Equal Employment Opportunity** HD Supply… more