- Cardinal Health (Atlanta, GA)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary + Reviewing insurance payments for accuracy and completeness **_Qualifications_** + HS, GED, bachelor's degree in business related field preferred, or equivalent… more
- Sedgwick (Atlanta, GA)
- …or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education ... **Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance products + Excellent oral and… more
- Elevance Health (Atlanta, GA)
- …decisions. **How You Will Make An Impact:** + Analyze and monitor weekly incurred claims , paid claims , pharmacy, lab results, and authorizations to identify cost ... studies and predictive models using large, complex datasets to forecast health claim activity and utilization patterns. + Translate complex data insights into clear,… more
- Allied Universal (Augusta, GA)
- …files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, ... of payroll discrepancies, compliance reporting, uniform/equipment management, and unemployment claims . This hands-on position is responsible for branch-level administration.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …with providers, negotiate contracts (where necessary), and ensure quality of care. CLAIMS MANAGEMENT: + Oversee TPA claim processing, ensure accurate and ... + Understand and mitigate financial risks associated with self-funding such as large claims and fluctuations in healthcare costs. ADVISORY AND GUIDANCE: + Work with… more
- CDM Smith (Columbus, GA)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those...Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI… more
- Peachtree Orthopedics (Atlanta, GA)
- …Responsible for a variety of medical office /clerical tasks relating to claims processing; contact patients and responsible parties to resolve past-due accounts; ... with minimal or no assistance necessary. + Independently assess claims edits and other billing messages to resolve any...use of modifiers preferred. + Familiar with CMS 1500/UB04 claim form completion, knowledge of Medicare, Managed care and… more
- CVS Health (Atlanta, GA)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... + 2+ years of experience working in an accounting system, including accounts receivable, accounts payable, auditing, and billing. **Preferred Qualifications** + Resides in Amherst, New York, with the ability to work a hybrid schedule in the local office. +… more
- Fresenius Medical Center (Kennesaw, GA)
- …the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient ... AND RESPONSIBILITIES: + Under general supervision, identify and resolve routine outstanding claims . + Generate and analyze diverse reports and work lists in the… more
- United Musculoskeletal Partners (Atlanta, GA)
- …that all services rendered have been recorded correctly + Enters charges / approves claim creations in the EMR system at Check-Out + Submits appropriate claims ... Time Adjudication + Works "Day End Review" report and designated Tier-based HOLD Claim Worklist(s) on a daily basis + Accepts accountability for all Worklists on… more