- Waystar (Atlanta, GA)
- …THIS POSITION** As part of our award-winning Client Success Department, the Technical Support Analyst is responsible for providing superior support to our ... satisfaction. We need driven people with a passion for support and service to guide our clients to become...experience with ANSI X12 EDI transactions and/or medical billing claim forms (CMS 1500 or UB-04) + Prior use… more
- UNUM (Atlanta, GA)
- …to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health support + Career advancement opportunities + Student loan repayment options + Tuition ... Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The… more
- Zodiac Pool Systems (Atlanta, GA)
- Contract Technical & Warranty Support Rep I Customer Service Atlanta, Georgia Apply Description Fluidra is looking for a Contract Technical & Warranty Support ... Provide mechanical and electrical troubleshooting and installation assistance, warranty support , and general customer service via phone, email and...to help determine the validity of a warranty + claim . + At least 6 months of "hands on"… more
- Highmark Health (Atlanta, GA)
- …medical economics, profitability analysis, wellness studies, predictive modeling, benefit benchmarking, claim reserving and strategic client support that is both ... medical economics, profitability analysis, wellness studies, predictive modeling, benefit benchmarking, claim reserving and strategic client support . + Provide… more
- CVS Health (Atlanta, GA)
- …regulatory updates are operationalized. This role requires a thorough knowledge of claim adjudication, internal MAC & non-MAC related processes, and being a leader ... management + Counsel and mentor team members, provide guidance and support to enhance their skills and professional development. **Required Qualifications** +… more
- Cardinal Health (Atlanta, GA)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Supervisor or Manager. + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects, audits, or other… more
- PruittHealth (Norcross, GA)
- …supplies, and nursing care. This role ensures accurate and timely claim submissions, insurance verification, and payment reconciliation. The supervisor oversees a ... all home infusion services. * Oversee the preparation and submission of insurance claims , verify patient benefits and payer contracts, and manage follow-up on denied… more
- CDM Smith (Macon, GA)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Centene Corporation (Atlanta, GA)
- …to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more
- Quality Technology Services, LLC (Suwanee, GA)
- …are operating sufficiently to deliver quality services. Reviews and resolves support tickets based on agreed service levels; reviews reports/tools to identify ... knowledge base articles and procedures to ensure quality assurance, reviews support processes and regulatory adherence. + Administers staff performance management… more