- 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
- 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 (Savannah, GA)
- …**Required Education** High School or GED **Required Experience** 3-5 years claims processing required **Preferred Education** Bachelor's Degree or equivalent ... combination of education and experience **Preferred Experience** 5-7 years claims processing preferred To all current Molina employees: If you are interested in… more
- 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
- 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
- Cognizant (Atlanta, GA)
- …School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of ... payment and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures + Must be… more
- 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
- AIG (Atlanta, GA)
- …extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With ... customers to manage risk. Join us as a Complex Claims Adjuster-Warranty to play your part in that transformation....of the team. Get to know the business: Our Claims teams are the proven problem solvers of choice… more
- Molina Healthcare (GA)
- …is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Responds to incoming calls from providers ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- 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