- Allied Universal (Atlanta, GA)
- …where flexibility meets opportunity. As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up open shifts based on your ... PM - 11:00 PM **What You'll Do:** + Use our proprietary scheduling platform to claim open shifts at client sites + Support operations across a range of environments… more
- Molina Healthcare (GA)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Elevance Health (Atlanta, GA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches...interventions such as recovery of overpayment, pre-payment audit of claims or putting providers on notice. + Assists with… more
- CVS Health (Atlanta, GA)
- …bound calls to clients and payers, while working with other teams to resolve claims issues. + Documenting claims details into necessary tools. + Presenting data ... and accurately. **Required Qualifications** + 1+ years of experience working with medical claims with the understanding of how benefit levels are applied. + 1+ years… more
- Sedgwick (Atlanta, GA)
- …or GED required. **Experience** Three (3) years of customer concierge or claims customer service experience or equivalent combination of education and experience ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Molina Healthcare (GA)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of… more
- Elevance Health (Atlanta, GA)
- …I** is responsible for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an Impact** Primary duties may ... but are not limited to: + Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database. +… more
- Molina Healthcare (Atlanta, GA)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Molina Healthcare (Atlanta, GA)
- …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more
- Saia, Inc (Suwanee, GA)
- …reporting metrics. Provides support in customer service, routing, billing, and claims resolution. **Major Tasks and Responsibilities** + Compiles and presents data ... routing. + Collaborates with carriers to resolve billing issues. + Facilitates claims settlements with clients. + Supports operations by resolving billing issues,… more