- Newell Brands (Sandy Springs, GA)
- …will help to envision and deliver winning and invention-complete product experiences, claims , demo and competitive moat strategies and plan, and support that will ... research and translating consumer needs into functional product experiments, prototypes, claims , and demos, acting as the technical-consumer bridge between Insights… more
- State of Georgia (Fulton County, GA)
- …to whether proper diagnostic and procedure codes were used in submitting claims to the Georgia Medicaid Program. Maintains a comprehensive understanding of current ... State of Georgia Demonstrated experience in the analysis of Medicaid/Medicare claims . Preferred Qualifications: In addition to meeting the minimum qualifications,… more
- CVS Health (Atlanta, GA)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... of problem solving and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School Diploma or equivalent GED… more
- Elevance Health (Atlanta, GA)
- …limited to: + Engage in the dynamic and rewarding field of pharmacy claim forecasting and analysis, primarily for Commercial and Medicare, while collaborating on ... and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of… more
- Elevance Health (Columbus, GA)
- …coding systems such as ICD, CPT, and HCPCS strongly preferred. + Claim processing and adjustment experience strongly preferred. + Previous experience in high-volume ... operations ( claims , customer service, enrollment and billing) strongly preferred. For candidates working in person or virtually in the below location(s), the salary*… more
- Cognizant (Atlanta, GA)
- …processes, training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue ... monitoring, Storage monitoring, Connect Direct subsystem. + Contact different teams if requested by on-call + For application upgrade events, place job queues on HOLD for MOD and Patch instances + Responsible for performing and monitoring all backups on the… more
- CVS Health (Atlanta, GA)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies,… more
- Humana (Atlanta, GA)
- …PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim 's environment + ... Experience creating pivot tables and consumable information within Excel + Knowledgeable in regulations governing health care industries or related adjacent industries **Additional Information** **Work-At-Home Requirements:** + WAH requirements: Must have the… more
- Carrington (Atlanta, GA)
- …internal departments, in-house attorneys, and other stakeholders. + Conduct pre- claim title review including reviewing title records, organizing documents, creating ... chronologies, preparing and submitting title claims , monitoring for response from insurers and working with carrier retained counsel. + Ensure compliance with… more
- Robert Half Legal (Alpharetta, GA)
- …manage caseloads effectively and provide strategic legal counsel. * Review insurance claims and provide defense support in property, casualty, and personal injury ... management systems. * Strong understanding of civil litigation processes and claim administration. * Experience with medical chronologies and handling pre-existing… more