- AIG (Atlanta, GA)
- …technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the ... latest tools to complete their work efficiently and with the highest standards of excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that enable AIG's businesses to achieve their… more
- AIG (Atlanta, GA)
- …technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the ... latest tools to complete their work efficiently and with the highest standards of excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that enable AIG's businesses to achieve their… more
- AIG (Atlanta, GA)
- …technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the ... latest tools to complete their work efficiently and with the highest standards of excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that enable AIG's businesses to achieve their… more
- CVS Health (Atlanta, GA)
- …Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will ... and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. +… more
- CVS Health (Atlanta, GA)
- …every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a ... and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise.… more
- Republic Finance, LLC (Stockbridge, GA)
- …performing risk analysis, making credit decisions, administering loan closings, and processing insurance claims . Your management abilities shine as you ... assist the Branch Manager with recruiting and training as well as developing and implementing plans to meet sales goals while promoting our core values, and ensuring an outstanding customer experience. If you love digging in to get the job done and seeing your… more
- Emory Healthcare/Emory University (Duluth, GA)
- …service. + Review and monitor patients ? accounts to improve revenue and timely processing of claims . + Responsible for financially clearing patients prior to, ... at the time of service, or during inpatient admission by collecting payment, determining insurance eligibility, and/or evaluating for financial assistance. + Requires knowledge of Medicare, Medicaid, and Third Party carriers, referrals and pre-certification… 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 ... + Understand and mitigate financial risks associated with self-funding such as large claims and fluctuations in healthcare costs. ADVISORY AND GUIDANCE: + Work with… more
- Humana (Atlanta, GA)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Walmart (Alpharetta, GA)
- …resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims rescanning illegible images ... and procedures by assisting the pharmacist in the prescription fulfillment process processing third party insurance claims and/or rejections assisting patients… more