- CenterWell (Savannah, GA)
- …properly and in a timely manner. . Receiving and efficiently processing patient prescriptions, assisting in preparing and delivering medications under direct ... filing system updated for multiple procedures/processes. . Assists with pharmacy claims adjudication including calling insurances to assess and correct pharmacy … 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 ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Humana (Atlanta, GA)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Legacy Parking Company (Atlanta, GA)
- …of Assistant Managers and Team Leaders + Monitor and review all damage claims . Recommend and implement plans or programs to improve safety of operations to ... prevent the occurrence or reoccurrence of similar claims + Monitor facility maintenance for cleanliness standards and...to budget and revenue enhancements. + Responsible for payroll processing ; ensuring sign off on hours in timely manner;… more
- Norstella (Atlanta, GA)
- …to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You ... teams to develop and refine database queries, data pipelines, and processing workflows, incorporating AI/ML methodologies for advanced analytics. + Partner with… more
- Sedgwick (Atlanta, GA)
- …directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and ... 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
- UIC Government Services and the Bowhead Family of Companies (Moody AFB, GA)
- …knowledge of computer systems including USAF databases, computer graphics, and word processing applications, in order to perform assigned duties. + Ability to ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- UIC Government Services and the Bowhead Family of Companies (Moody AFB, GA)
- …knowledge of computer systems including USAF databases, computer graphics, and word processing applications, in order to perform assigned duties. + Ability to ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Walmart (Lithia Springs, GA)
- …requests Respond to internal and external customer calls related to orders claims damages billing issues etc by researching and resolving systemrelated issues ... down reports billing user access coding filing etc Systems OperationsData Processing Maintains operation of system hardware and software through monitoring… more
- Mass Markets (GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... completion of assigned projects, event/meeting planning, filing, mail handling, and processing of letters/correspondence + Organize meetings summits from start to… more