- Waystar (Atlanta, GA)
- …**measurable business value** and directly improve customer outcomes (eg, better claim processing insights, faster payment reconciliation). + Establish **KPIs** ... **timeliness** . + Build data infrastructure to support real-time and batch processing use cases for customer-facing products. + Establish and enforce **data quality… more
- Elevance Health (Atlanta, GA)
- …+ Requires a HS diploma or equivalent and minimum of 4 years claims processing and/or customer service experience; or any combination of education ... AA/AS or higher level degree preferred. + Leadership experience in a claims processing environment preferred Please be advised that Elevance Health only accepts… more
- Intermountain Health (Atlanta, GA)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing , denials, payments, customer service, and follow up ... + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Physical Requirements:**… more
- Molina Healthcare (Macon, GA)
- …Provides leadership and direction to MMS Operational Units management staff (eg, Claims Processing , Provider Services, Provider Enrollment, Finance, Managed Care ... or equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high… more
- Mass Markets (Savannah, GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... the necessary information and notify business partners regarding messages, inquiries, and claim reporting + Works under close supervision + Utilize knowledge base… more
- Cognizant (Atlanta, GA)
- …processes, training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue ... team is responsible for 24x7x365 monitoring of all IBM i LPARS, along with processing all backups. This role will also involve monitoring the IBM i RxClaim health,… more
- CVS Health (Atlanta, GA)
- …complaints and/or Center for Medicare and Medicaid Services (CMS) + Medical/RX claim processing knowledge + Bachelors Degree **Education:** High School Diploma ... queue of Medicare complaints. These complaints can include various issues ranging from claims that are adjudicated incorrectly to rude customer service. You will be… more
- Highmark Health (Atlanta, GA)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Sunrise Senior Living (Acworth, GA)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... Process payroll and follow established business processes and "Do It Daily" processing activities and submit accurate bi-weekly payroll by established schedule. +… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and manage the ... regulatory submissions (IND, BLA, MAA, etc.) related to downstream processing . + Collaborate closely with Upstream MSAT, Validation MSAT,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more