- 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
- 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)
- …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 compensation and pension exams for service connected issues and claims . The hours at the clinic fall between 8:00 am and 4:00 pm. Job ... Description: Mental health issues addressed during the exams may include depression, military sexual trauma, PTSD, sleeping disorders, eating disorders and anxiety. Role Description: This is a contract 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