- Elevance Health (Atlanta, GA)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, ... and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and developing enterprise-wide specific… more
- Elevance Health (Atlanta, GA)
- …I** is responsible for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an Impact** Primary duties may ... but are not limited to: + Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database. +… more
- Molina Healthcare (Atlanta, GA)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Molina Healthcare (Atlanta, GA)
- …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more
- Norfolk Southern (Atlanta, GA)
- …and processes throughout the department while also handling the appeals of claims and grievances and the defense of management's position in disputes involving ... VP, with the strictest confident, professionalism, and respect. + Analyzes incoming claims for trends and patterns related to territories or operational changes. +… more
- Cardinal Health (Atlanta, GA)
- …data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software ... including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle time frame + Calling insurance companies regarding any… more
- Saia, Inc (Suwanee, GA)
- …reporting metrics. Provides support in customer service, routing, billing, and claims resolution. **Major Tasks and Responsibilities** + Compiles and presents data ... routing. + Collaborates with carriers to resolve billing issues. + Facilitates claims settlements with clients. + Supports operations by resolving billing issues,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Newell Brands (Sandy Springs, GA)
- …a holistic proposition, from inception of the core idea (including benefits, claims , branding) to the business model recommendation. They will own identifying the ... propositions for consumer validation (including ideas, assortment / variants, claims , reason-to-believe, pricing, naming, and branding) and partnering with Insights… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more