- Walmart (Savannah, GA)
- …its relevance to the enterprise strategy. Describes the interdependence of support functions and line operating functions. Identifies the primary operational ... assigned area of work. Creates action plans to address audit findings. Validates claim records work with worker's compensation case managers for investigation of … more
- Evolent (Atlanta, GA)
- …will be part of a team who thrives on driving analysis and support for Evolent's fast growth and innovative risk-based Performance Suite business. **Collaboration ... Medical Cost Action Planning work to identify, size, and support new programs aimed at reducing cost of care...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more
- Cardinal Health (Atlanta, GA)
- …understanding of service level goals and objectives when providing customer support . + Demonstrates ability to respond to non-standard requests from vendors ... within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams. **_Responsibilities_** + Provides ongoing… more
- Cognizant (Atlanta, GA)
- …will make an impact by configuring and maintaining QNXT systems to support provider contracts, benefits, and fee schedules. You will collaborate with stakeholders ... and clarify gaps. + Interpret paper contracts for reimbursement and troubleshooting, claim pending issues. + Create detailed technical design documents and perform… more
- Elevance Health (Atlanta, GA)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... special projects such as understanding changes in cost and utilization at a claim level + Responsible for educating and making recommendations on changes in expense… more
- Elevance Health (Atlanta, GA)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... role plays a critical part in identifying coding discrepancies and recoverable claim opportunities, and supporting regulatory integrity on behalf of the company and… 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 cost ... the following: + Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under...and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High… more
- HNTB (Atlanta, GA)
- …resolution of potential change orders, change orders, dispute resolution, and provide claims , formal dispute, and litigation support . + Performs administrative ... Plans. On-site liaison to the client's legal department for resolution of claims , formal disputes and litigation. Capture lessons learned on policies, contractual… more
- Humana (Atlanta, GA)
- …explore where there may be liability and negotiate and coordinate claim payments. The Subrogation Professional II identifies, investigates, and collects recoveries ... an impact** **Required Qualifications** + Minimum 2 years of **subrogation claims handling experience** in healthcare, property and casualty, or worker's… more
- Intermountain Health (Atlanta, GA)
- …Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position ... will monitor and support the maintenance of consistent charge capture or charge...+ Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. Leverages other system… more