- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... practices, and specialty care procedures. + Recommends policy changes and claims system changes to pursue cost savings. + Reviews results post-implementation… more
- Sedgwick (Atlanta, GA)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Molina Healthcare (Columbus, GA)
- …Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex ... implement efficient enterprise-wide processes and governance structures that span claims , encounters, clinical, finance and actuarial functions. + Identifies,… more
- Humana (Atlanta, GA)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root cause… more
- Sedgwick (Atlanta, GA)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- US Physical Therapy (Decatur, GA)
- …and insurers. Your role will also be critical in our billing and claims department with collections of patient balances, managing denials and assisting the Office ... companies to obtain prior authorizations + Follow up with insurance companies on unpaid claims and denials. + Assist with Answer phones and scheduing new patients +… more
- AON (Atlanta, GA)
- …Marshals appropriate Aon resources to support clients in unusual circumstances such as large claims , etc. Skills and experience that will lead to success + Must have ... Marshals appropriate Aon resources to support clients in unusual circumstances such as large claims , etc. Skills and experience that will lead to success + Must have… more
- Mass Markets (GA)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- CenterWell (Savannah, GA)
- …filing system updated for multiple procedures/processes. . Assists with pharmacy claims adjudication including calling insurances to assess and correct pharmacy ... claims rejections if appropriate. . Other duties as assigned and modified at manager's discretion. **Use your skills to make an impact** **Required Qualifications:**… more
- Elevance Health (Atlanta, GA)
- …Analytics Analyst Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with SQL, SQL Server,… more