- 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
- State of Georgia (Fulton County, GA)
- …in the statewide travel reimbursement system (CONCUR). Assist with processing employee travel reimbursements. Process operating related expenses including Georgia ... accounts between accounts payable modules to general ledger module. Assist with processing local distributions to counties and municipalities for the Premium Tax… more
- CVS Health (Atlanta, GA)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical ... of problem solving and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High School Diploma or equivalent… more
- Fresenius Medical Center (Kennesaw, GA)
- …function(s). The incumbent is responsible for evaluating and resolving outstanding claim issues in compliance with company policies and procedures. PRINCIPAL DUTIES ... within the assigned function(s). + Review, investigate and resolve outstanding claims in coordination with cross-divisional teams and/or vendors to obtain the… more
- Evolent (Atlanta, GA)
- …of Actuaries credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
- Intermountain Health (Atlanta, GA)
- …data to the clinical record. Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts. + Evaluates, ... Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position… more
- Datavant (Atlanta, GA)
- …resolving complex coding edits efficiently and accurately to ensure timely and compliant claim processing .** **What You Will Do:** + Review medical records and ... and optimizing service outcomes in both hospitals and alternative care settings. ** Claim edit experience is required; Must be proficient in resolving claim… more
- Molina Healthcare (Atlanta, GA)
- …years of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of ... etc.) + Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems. + Demonstrated ability to use MS Excel/Access platforms working… more
- Walmart (Stockbridge, GA)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Otsuka America Pharmaceutical Inc. (GA)
- …visits. **Responsibilities and Duties:** **Drive Provider Referral Program:** + Analyze claims and EMR data to identify high-potential providers and patient ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more