• Patient Support Medical/Biller Claims

    IQVIA (Atlanta, GA)
    **Patient Support Medical Claims Processing ​ Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
    IQVIA (07/29/25)
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  • Specialist, Configuration Oversight (Healthcare…

    Molina Healthcare (Macon, GA)
    …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ )… more
    Molina Healthcare (08/16/25)
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  • Risk Claims Consultant

    The Coca-Cola Company (Atlanta, GA)
    …safe and empowered, lets you bring your best self to work. **Skills:** Insurance Claims Processing ; Microsoft Office; Communication; Claims Processing ; ... The Risk Claims Consultant is an integral part of the Risk Management Claims Team participating in management and resolution of claims for all lines of… more
    The Coca-Cola Company (08/23/25)
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  • Senior Claims Specialist, E&S Property…

    Axis (Alpharetta, GA)
    …determine coverage, liability, and settlement value. + Leading initiatives to enhance claims processing efficiency and accuracy within the team. + Collaborating ... at creating and directing the development of training materials relevant to claims processing . + Show a commitment to continuous professional development in the… more
    Axis (08/16/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (Macon, GA)
    …Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility ... and IPA. + 2 years supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting. **Preferred Education**… more
    Molina Healthcare (07/18/25)
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  • Claims IT Platform Director - GenAI

    AIG (Atlanta, GA)
    …objectives while managing cross-functional teams. What you need to know Knowledge of Claims Processing : Success in this role requires a deep understanding of ... Claims IT Platform Director - GenAI Be part of something...to be a key part of that transformation. As a Claims IT Platform Director - GenAI you will have the… more
    AIG (07/23/25)
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  • Senior Claims Law Firm Analyst

    AIG (Atlanta, GA)
    …Law Firms with an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall include; + Negotiate commercial ... customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in...valued member of the team. Make Your Mark In Claims Our Claims teams are the proven… more
    AIG (07/12/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Atlanta, GA)
    …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... + 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent… more
    Cognizant (08/01/25)
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  • Lead Claims Processor, Government Programs

    Prime Therapeutics (Atlanta, GA)
    …or submit claims and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify that claims are ... our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims more
    Prime Therapeutics (07/29/25)
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  • Rating/ Claims Systems Implementation…

    Elevance Health (Atlanta, GA)
    …The role requires a candidate with a strong understanding of data analysis, claims processing , and audit processes associated with healthcare payment models. ... **Rating/ Claims Systems Implementation Advisor** **Location:** Norfolk, VA; Atlanta,...not eligible for current or future visa sponsorship._ The **Rating/ Claims Systems Implementation Advisor** will have expert-level experience in… more
    Elevance Health (08/16/25)
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