- CVS Health (Atlanta, GA)
- …inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- AIG (Atlanta, GA)
- …service with empathy and efficiency. How you will create an impact The Specialist will handle and analyze general liability claims under general supervision ... claims involving litigation. The position also ensures ongoing adjudication of claims within the Company standards, industry best practices and specific… more
- Molina Healthcare (GA)
- …Partners to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Datavant (Atlanta, GA)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
- BrightSpring Health Services (Valdosta, GA)
- …payor issues and report out. + Complete follow up process to ensure full adjudication of claims . + Identifies adjustments throughout the month for assigned ... claim denials, exceptions, or exclusions. + Maintain open communication with Billing Specialist , Cash Application Analyst and Operations. + Send cash transfer &… more
- United Musculoskeletal Partners (Atlanta, GA)
- …charges / approves claim creations in the EMR system at Check-Out + Submits appropriate claims for Real Time Adjudication + Works "Day End Review" report and ... the patient visit, the patient is ready for check out.The Checkout Specialist works in a fast-paced environment, providing outstanding customer service to all… more