- Cognizant (Atlanta, GA)
- …the consumer goods domain. The ideal candidate for this **Consumer Goods Sales Specialist - RGM / TPM (Associate Director)** role will be responsible for ... areas like RGM/TPM, Retail execution, Omni Channel -B2C/B2B, Direct Store delivery, Claims and regulatory management. . Understand markets dynamics, client needs to… more
- Molina Healthcare (GA)
- …and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, ... + 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration. + 3+ years' experience in Medical Terminology,… more
- PruittHealth (Norcross, GA)
- …DUTIES, AND RESPONSIBILITIES:** * Prepare and transmit Georgia Private Billing claims . * Research, correct and re-bill outstanding Private Billing claims ... . * Responsible for Private Billing Collections and Days Sales Outstanding. * Work with the healthcare center administrator and office personnel to manage the facility's Private Billing accounts receivable. * Respond to change productively and handle… more
- Molina Healthcare (Columbus, GA)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- Acosta Group (Alpharetta, GA)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Mass Markets (GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- AIG (Atlanta, GA)
- …strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners, ... (Business Development Managers and/or Client Directors) to effectively maximize our distribution partner network. + Effectively negotiate and secure policy terms that align with the company directives, especially utilizing new product and service offerings to… more
- Allied Universal (Macon, GA)
- … with red flags that suggest fraudulent behavior In relation to an Insurance claim . The SIU Specialist must use their extensive knowledge of Insurance policies ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- Elevance Health (Atlanta, GA)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- Cardinal Health (Atlanta, GA)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible… more