- 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
- Humana (Atlanta, GA)
- …either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's ... offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- AIG (Atlanta, GA)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues with the latest tools ... to complete their work efficiently, with the highest standards of excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that enable AIG's businesses to achieve their goals. Innovation… more
- Cardinal Health (Atlanta, GA)
- …patient medical records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs, the registration process ... and charge entry. + Supports the overall workplan of the Compliance Department. + Other duties as assigned. **_Qualifications_** + 8-12 years of experience, preferred + Bachelor's degree in related field, or equivalent work experience, preferred* Bachelor's… more
- CVS Health (Atlanta, GA)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... negotiation role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator, working with training staff, and team members as more complex cases and strategies are developed.… more
- American Express (Atlanta, GA)
- …partners to improve customer experience, deliver on business goals and enhance claims and servicing + For external partners, responsible for ensuring all strategic ... and operational deliverables are met + Project management of all critical workstreams to drive project plans forward toward targeted timeframes by ensuring oversight of critical timelines & progress of all activities + Lead identification of operational issues… more
- Grant Thornton (Atlanta, GA)
- …to revenue cycle optimization, including patient access, revenue integrity, coding, claims processing, billing, and reimbursement, with a focus on enhancing ... financial performance and operational efficiency. + Strong understanding of key healthcare regulations and initiatives, and the ability to evaluate organizational compliance with regulatory bodies such as the Office of Inspector General (OIG) and the Centers… more
- Mass Markets (Savannah, 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
- Humana (Atlanta, GA)
- …and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim's environment + Experience creating ... pivot tables and consumable information within Excel + Knowledgeable in regulations governing health care industries or related adjacent industries **Additional Information** **Work-At-Home Requirements:** + WAH requirements: Must have the ability to provide a… more
- Aerotek (Oakwood, GA)
- …Projects (QIPs). + Plan and conduct incoming inspections. + Manage claims with customers and suppliers using internal and customer-specific standards, including ... customer portals. + Control and evaluate measuring equipment, including calibration and Measurement System Analysis (MSA). + Implement customer-specific requirements within quality documentation, create, and update control plans and check inspections. +… more