- Humana (Atlanta, GA)
- …on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists, ... coordination of services and other non-clinical beneficiary concerns. + Assist in researching and providing community resources when appropriate. Interface with providers as necessary and appropriate for issue follow-up and resolution. Discuss identified… more
- Global Industrial (Buford, GA)
- …* Provide order status, check inventory, schedule returns, file shipping claims , notate accounts, troubleshoot problems, handle complaints, and assist with billing ... inquiries Duties & Requirements: * Efficiently and professionally communicate with customers and assist them with their needs * Strong phone contact handling and active listening skills * Excellent written communication and comprehension * Skilled at… more
- Amergis (Savannah, GA)
- …with thorough mental health compensationand pension exams for service connected issues and claims . The hours at theclinic fall between 8:00 am and 4:00 pm. ... JobDescription: Mental healthissues addressed during the exams may include depression, military sexualtrauma, PTSD, sleeping disorders, eating disorders and anxiety. RoleDescription: This is acontract role for a Locums Psychologist (PhD/PsyD) with Amergis… more
- Evolent (Atlanta, GA)
- …as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing and implementing ... well-thought-out APIs in a service-oriented architecture. + Strong problem-solving, communication, and organizational skills. Ability to work effectively in a team-oriented environment. **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),… 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
- Elevance Health (Atlanta, GA)
- …of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... policies and procedures. **Minimum Requirements** + Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted RN… more
- Dycom (Grayson, GA)
- …to improve quality results and reduce damages.You will provide witness testimony in small claims and litigated cases when necessary. **Who we are looking for ** + ... You have 5 or more years of locating experience and/or equivalent. + You are able to troubleshoot difficult locates and proficiently interpret all utility plats. + You are proficient in using different locating equipment. + You are proficient in Microsoft… more
- Pearl Interactive Network (Atlanta, GA)
- …+ Navigate pre-scripted responses, read them verbatim to provide basic and claims -specific information, and ensure callers receive accurate details. + Perform other ... related duties as assigned. **Education and/or Work Experience Requirements:** + HS Diploma + 6 months of customer service experience + Enrollment experience preferred + Dental experience a plus **Physical Requirements:** While performing the duties of this… more
- Georgia Military College (Milledgeville, GA)
- …College athlete physician referrals. | Submission of JC athlete medical insurance claims . | Maintaining JC athlete medical records. | Assist with the maintenance ... of our Third-Party Reimbursement. | Assist with the coordination of athletic pre-participation physical exams | Help ensure compliance with all regulatory agencies. (HIPPA, EPA, OSHA, NATA, GATA, NJCAA) | Assisting with the development and implementation of… more
- Sysco (College Park, GA)
- …processing teams. + Work closely with the quality control teams to ensure claims are submitted to obtain supplier credits + Responsible for maintaining and reporting ... regulatory compliance (ie USDA, food safety documentation, etc.). + Responsible for handling will call transactions involving payments from customers and employees. Includes processing of employee purchases. **QUALIFICATIONS** **Education** + High School… more