- Elevance Health (Atlanta, GA)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... inpatient admission, outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data entry of referral requests into the UM system in… more
- Molina Healthcare (Savannah, GA)
- …organized and analytical thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work ... in a high-volume environment. Bilingual candidates that speak Spanish are encouraged to apply. Further details to be discussed during our interview process. Remote with 10% travel to member's home or facility Work schedule Monday through Friday 8:30 AM to 5:00… more
- Molina Healthcare (Atlanta, GA)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of SQL ... 2005/2008 SSRS report development + Familiar with relational database concepts, and SDLC concepts **Preferred Education** Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. **Preferred Experience** 3 - 5 years… more
- ASRC Industrial Services (Blairsville, GA)
- …Corporation (ASRC), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an ANC, AIS Infrastructure is ... a Minority Business Enterprise. Their AIS BCSS group is also a certified 8(a) business, offering further contracting advantages to government agencies. These designations help clients meet their diversity spending objectives, while also providing sustainable… more
- State of Georgia (GA)
- …other growth medium. It does not include any substance for which nutritional claims are made, such as, but not limited to, commercial fertilizers, liming materials, ... or unmanipulated vegetable or animal manures. . The Soil Amendment Field Inspector conducts site investigations, collects samples, reviews records, and product labels. . This position oversees compliance to ensure that distributors and applicators of these… more
- Molina Healthcare (GA)
- …or Economics **PREFERRED EXPERIENCE:** Experience working with medical and pharmacy claims , authorization data, benefits design, medical management as well as ... knowledge of business functions and impact on financials (underwriting, sales, product development, network management.) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina… more
- Southern Company (Springfield, GA)
- …Other duties will include handling customer inquiries (voltage complaints, claims , etc.) and assisting with Distribution compliance and asset management ... programs. Candidate will also participate in the on-call trouble supervision rotation and must be available after business hours for local, out-of-town, and out-of-state trouble and storm restoration. **JOB QUALIFICATIONS** Education and Experience for an… more
- Trinity Health (Lavonia, GA)
- …or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service ... activities is highly desired. Consideration may be given for commensurate customer service experience in another industry. **Position Highlights and Benefits:** **Colleague Referral Program to earn cash and prizes** **Tuition Reimbursement and Student Loan… more
- ASRC Industrial Services (Blairsville, GA)
- …Corporation (ASRC), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an ANC, AIS Infrastructure is ... a Minority Business Enterprise. Their AIS BCSS group is also a certified 8(a) business, offering further contracting advantages to government agencies. These designations help clients meet their diversity spending objectives, while also providing sustainable… more
- Baylor Scott & White Health (Atlanta, GA)
- …documentation . Create SAM ticket for contracts/amendments to be loaded in claims /configuration system . Ability to handle multiple priorities with deadlines . ... Coordinates the distribution of contracts and amendments within specific time limits . Works closely with other departments on new business projects . Attend monthly Provider Network and/or Operations meetings and may be required to attend other required… more