- AIG (Atlanta, GA)
- …technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues with the ... latest tools to complete their work efficiently, with the highest standards of excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that enable AIG's businesses to achieve their… more
- AIG (Atlanta, GA)
- …technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues with the ... latest tools to complete their work efficiently, with the highest standards of excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that enable AIG's businesses to achieve their… more
- Highmark Health (Atlanta, GA)
- …within the healthcare industry. + Understanding of health plan operations, including claims processing , enrollment, billing, and customer service. + Proven track ... record of successfully managing complex projects and delivering results on time and within budget. + Strong understanding of the market and competitive landscape. + Excellent communication, interpersonal, and presentation skills. + Demonstrated ability to… more
- Oracle (Atlanta, GA)
- …of AI agents and multi-agent systems that orchestrate complex RCM workflows ( claims processing , charge capture, revenue integrity, denial management, and ... follow-up). Review and contribute to design docs, system diagrams, and critical code paths as needed. + **AI/ML solution delivery** Oversee end-to-end delivery of scalable AI/ML solutions, including data pipelines, model integration, inference services, and… more
- AIG (Atlanta, GA)
- …technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the ... latest tools to complete their work efficiently and with the highest standards of excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that enable AIG's businesses to achieve their… more
- CVS Health (Atlanta, GA)
- …regulations, and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post ... go-live validation + QNXT Experience + Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & CV) + Extensive knowledge of CPT, HCPCS, ICD-10 coding **Preferred Qualifications** + Prior Relevant Work Experience… more
- State of Georgia (Fulton County, GA)
- …no longer with DBHDD . Assist with tracking company paid expenses submitted in travel claims . . Assist with 1099 processing and updating codes with SAO . Respond ... to calls or emails from internal and external customers. . Retrieve backup documentation for auditors as requested. . Perform other related duties based on departmental needs. For benefits information, please visit: https://careers.dbhdd.ga.gov/why-dbhdd/… more
- National Vision (Duluth, GA)
- …agreement reimbursement rates to determine payer reserve analysis + Monitoring billing, claims processing , and payment reconciliations performed by the RSC ... managed care team to determine accounting impacts. + Assessing revenue trends and projecting financial outcomes related to payer reimbursement rates through the use of Microsoft BI. + Ensuring alignment with healthcare regulations and payer policies. + Using… more
- Datavant (Atlanta, GA)
- …following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to ... stay organized while working quickly. Strong attention to detail is also required. + Passing annual Introductory HIPAA examination. (Testing to be given annually in accordance with employee review.) + Required to take and pass a 90-day ROI Certification course… more
- Molina Healthcare (Columbus, GA)
- …health care operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) * Advanced understanding on health care ... financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as… more