- CVS Health (Atlanta, GA)
- …work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including health insurance, PBM or… more
- PruittHealth (Norcross, GA)
- …DUTIES, AND RESPONSIBILITIES:** * Prepare and transmit Georgia Private Billing claims . * Research, correct and re-bill outstanding Private Billing claims ... . * Responsible for Private Billing Collections and Days Sales Outstanding. * Work with the healthcare center administrator and office personnel to manage the facility's Private Billing accounts receivable. * Respond to change productively and handle… more
- Walgreens (Smyrna, GA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Evolent (Atlanta, GA)
- …- Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in ... assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable experience with Testing, Writing Test cases, Test Plans,… more
- Walgreens (Alpharetta, GA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Highmark Health (Atlanta, GA)
- …leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights ... to prototype. + **Healthcare Data Familiarity:** Understanding of healthcare data domains ( claims , clinical, EMR) and related ontologies or standards (eg, SNOMED CT,… more
- State of Georgia (Fulton County, GA)
- …unemployment insurance claimants selected for RESEA, and identifying issues on claims and communicating closely with unemployment insurance staff to relay ... variety of professional functions related to the processing of unemployment insurance claims . Review and confirm claimant eligibility for RESEA services under state… more
- ChenMed (Decatur, GA)
- …receipt; removing outdated drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains a safe and ... assigned by the Pharmacy Manager or Pharmacist on duty. + Processes claims for 3rd party reimbursement efficiently and correctly to third-party insurance providers… more
- State of Georgia (Dougherty County, GA)
- …unemployment insurance claimants selected for RESEA, and identifying issues on claims and communicating closely with unemployment insurance staff to relay ... variety of professional functions related to the processing of unemployment insurance claims . Review and confirm claimant eligibility for RESEA services under state… more
- Sedgwick (Atlanta, GA)
- …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 ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more