- Sedgwick (Atlanta, GA)
- …containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Communicates claim action/ processing with ... preferred. Licenses as required. Professional certification as applicable to line-of- business preferred. **Experience** Three (3) years claims management… more
- Mass Markets (GA)
- …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
- Molina Healthcare (Augusta, GA)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s)...and help foster an environment where continuous improvement in business processes and services is welcomed and recognized to… more
- Molina Healthcare (Atlanta, GA)
- …concisely and accurately in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- Prime Therapeutics (Atlanta, GA)
- … research for escalated pharmacy and client inquiries, offering issue resolution for claims processing and pharmacy payment in order to resolve inquiries. ... Excel **Preferred Qualifications** + Experience working with RxClaim system or other claims processing experience + Pharmacy Technician certification (CPhT) or… more
- Otsuka America Pharmaceutical Inc. (GA)
- …the globe. **Position Summary:** The primary purpose of the Clinical Field Specialist role is to build a clinical patient pipeline for Recor-sponsored clinical ... through targeted, data-driven outreach and education. The Field Clinical Specialist also provides procedure support including case proctoring, physician… more
- Elevance Health (Columbus, GA)
- **eCOB Specialist II** **Location** : This role enables associates...or equivalent and a minimum of 2 years of claims processing and customer service and 2 ... from 8:00 am - 4:30 pm EST. The **eCOB Specialist II** is responsible for researching and investigating other...enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well… more
- Sedgwick (Atlanta, GA)
- …accredited college or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and… more
- ADP (Alpharetta, GA)
- ADP is hiring a **Benefit Solutions Specialist - I.** **POSITION SUMMARY:** Ensures platform configuration and readiness to support a client through their annual ... necessary ADP-specific tasks are accomplished on time and as required. The Specialist is responsible for all hands-on configuration and related activities for both… more