- State of Georgia (Fulton County, GA)
- …Fraud Division. Job Summary Under the direction of the Fraud Unit Director , assists in healthcare investigations by: reviewing provider and recipient records, by ... to whether proper diagnostic and procedure codes were used in submitting claims to the Georgia Medicaid Program. Maintains a comprehensive understanding of current… more
- Stantec (Atlanta, GA)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... written communications, including Change notifications, Change Requests, responses to Claims notifications, etc. within the timeframes required by the Contract… more
- Zurich NA (Atlanta, GA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims , Underwriting support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft Office + Experience working on… more
- Molina Healthcare (Macon, GA)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... performance goals with assigned department managers, in conjunction with the Director , Account Management so that department goals support overall account level… more
- Zurich NA (Atlanta, GA)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft...Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-RA1 #LI- DIRECTOR EOE Disability /… more
- Zurich NA (Atlanta, GA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of...Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- DIRECTOR #LI-HYBRID EOE Disability /… more
- Gwinnett County Public Schools (Suwanee, GA)
- …the organization.Primary Responsibilities: Provide administrative support to the Executive Director of Special Education and Psychological Services and assist with ... minutes of meetings.b. Align administrative priorities with those of the Executive Director .c. Maintain an accurate schedule of activities for the Executive … more
- MSC Industrial Supply Co. (Mableton, GA)
- …safety team mentoring, MVP Team, ES&H training, Workers Compensation support for claims and issues and return to work, Incident investigation and corrective action ... Incident Investigations and Supports Workers Compensation Cases** + Coordinates claims loss analysis evaluations for CFC associates in conjunction...the CFC's and Branches in the absence of the Director of Safety & Security. + Leads Teams as… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …with providers, negotiate contracts (where necessary), and ensure quality of care. CLAIMS MANAGEMENT: + Oversee TPA claim processing, ensure accurate and timely ... payment of claims , and identify areas for cost reduction. COMPLIANCE AND...action plans. FINANCIAL MANAGEMENT: + In conjunction with Sr. Director , Finance, oversee financial performance, manage budget and costs,… 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 ... willing to travel). Teams will be appointed by the Director of Sports Medicine and the Athletic Director... Director of Sports Medicine and the Athletic Director . | Coverage of all Junior College practices and… more