- Datavant (Atlanta, GA)
- …following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to ... stay organized while working quickly. Strong attention to detail is also required. + Passing annual Introductory HIPAA examination. (Testing to be given annually in accordance with employee review.) + Required to take and pass a 90-day ROI Certification course… more
- Grant Thornton (Atlanta, GA)
- …projects related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing , with a focus on improving financial performance ... and operational efficiency. + Extensive Healthcare Provider Experience: Minimum of 3 years' experience working directly with diverse healthcare providers, including hospitals, academic medical centers, and healthcare systems, with a comprehensive understanding… more
- Humana (Atlanta, GA)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Delivery focused - time, scope, quality + In-depth knowledge of Medicaid regulations,… more
- Highmark Health (Atlanta, GA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be detailed… more
- Trinity Health (Greensboro, GA)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... customer service activities is highly desired. Consideration may be given for commensurate customer service experience in another industry. **Position Highlights and Benefits:** **Colleague Referral Program to earn cash and prizes** **Tuition Reimbursement and… more
- Prime Therapeutics (Atlanta, GA)
- …those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing , Prior Authorization, Telephony, Membership, etc.). + Consideration will be ... given as to the candidate's proficiency and ability to contribute in the role based upon the following: + Professional/related publications written and/or contributed to + Contributions to Blogs + Technical certifications such as those offered by SAS, IBM,… more
- Highmark Health (Atlanta, GA)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... education/training background in coding and reimbursement **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain… more
- State of Georgia (Muscogee County, GA)
- …and identifies budget variances. + Performs routine accounting, clerical, billing, and/or claims processing duties for assigned accounts + Responds to inquiries ... to solve routine accounting problems. + Prepares requested materials for audits of financial data or records. + Processes or records financial transactions such as accounts payable and receivable, payroll, invoices, or requisitions in a ledger or computer… more
- Public Consulting Group (Atlanta, GA)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... Cost Allocation Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets **Duties and Responsibilities** + Responsible for helping program recipients, family members, and caretakers navigate healthcare… more
- HUB International (Atlanta, GA)
- …or MGA + Experience in the insurance industry, particularly in policy administration, claims processing , or underwriting. + Proven experience in data migration ... projects or IT system implementations. + Strong analytical and problem-solving skills, with a keen eye for detail. + Excellent communication and interpersonal skills. + Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and data analysis tools. +… more