- Molina Healthcare (Columbus, GA)
- …skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data. ... Collaborates with actuarial and operational staff to analyze, understand, modify, and communicate models and results. Makes recommendations to management based on relevant findings. Utilizes Power BI to display relevant reporting within a refresh cycle.… more
- Walgreens (Douglasville, GA)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows- up with ... insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest alternative medications, and answer… more
- EFI Global (Atlanta, GA)
- …**Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional ... services.** **Collaborates with EFI's national team of forensic experts to leverage experiences and assist on projects.** **Education and Licensing:** **Requires Bachelor of Science degree in Engineering from an accredited college or** **university.**… more
- EFI Global (Atlanta, GA)
- …**Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional ... services.** **Collaborates with EFI's national team of forensic experts to leverage experiences and assist on projects.** **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** **Performs other duties as assigned.** **Supports the organization's quality program(s).**… more
- Consolidated Electrical Distributors (Cumming, GA)
- …6 weeks + Safety and equipment operation; shipping/receiving; freight claims ; paper processing; backorders; warehouse organization; product familiarity + Counter ... Sales 5 months + Product knowledge; customer interface and sales ability + Operations 10 weeks + Includes credit office, service center, and administration + Inside Sales 6-7 months + Phone sales techniques; develop job requirements; joint calls with outside… more
- Robert Half Accountemps (Dalton, GA)
- …Supports manual and electronic mass filing of 5000+ unemployment partial claims yearly for Georgia facilities, including troubleshooting issues and communicating ... with affected HR facilities. . Establish and maintain time & attendance system (Workforce) configuration as needed by building new models, employee filters, rotation patterns and staffing criteria. . Participate and support testing phases during implementation… more
- Walmart (Rome, GA)
- …appropriately merchandising and completing required documentation Tracks and processes claims by returning damaged goods handling liquidation merchandise maintaining ... and cleaning the clearance area and utilizing technology to capture required reporting and documentation Maintains safety of facility by following all safety standards procedures and guidelines conducting safety sweeps following proper forklift spotting… more
- Prime Therapeutics (Atlanta, GA)
- …stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners ... across the enterprise. **Responsibilities** + Executes compliance procedures and enforces policy governance across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory… more
- Evolent (Atlanta, GA)
- …coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality ... for all coding practices maintaining high standards and adherence with federal regulations to ensure cohesive and compliant coding per the AHA ICD-10 coding guidelines, AAPC and AHIMA and internal policies. + Conduct regular audits and quality checks for… more
- Robert Half Legal (Alpharetta, GA)
- …objectives and compliance across jurisdictions. * Manage IP disputes, infringement claims , and IP-related litigation, working closely with outside counsel when ... necessary. * Review and approve the use of names, images, and artwork for lottery products to ensure compliance with licensing agreements. * Supervise a senior trademark legal resource and provide mentorship in trademark-related matters. * Stay up-to-date on… more