- Walgreens (Woodstock, GA)
- …pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational… more
- Walgreens (Valdosta, GA)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest… more
- Devereux Advanced Behavioral Health (Kennesaw, GA)
- …and proficiency utilizing Microsoft Office Applications and database management. + Experience processing worker's compensation claims , FMLA, and other leave of ... absence cases. + Excellent communication skills, both written and verbal; customer service, relationship management, multi-tasking skills and ability to work independently are required. + Some knowledge of state and federal employment law, benefits… more
- Walgreens (Douglasville, GA)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows- up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest… more
- Molina Healthcare (Atlanta, GA)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
- Sedgwick (Atlanta, GA)
- …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Sedgwick (Atlanta, GA)
- …Insurance Experienced Desk Adjuster - Remote **PRIMARY PURPOSE** **:** Handles losses and claims valued up to $15,000 for property and casualty insurers through the ... Efficiently manages a case load using technology for efficient claim processing . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, … more
- NDCP (Duluth, GA)
- …potential The Workers' Compensation Manager (WC) is responsible for all WC-related claims management, including proactive management of WC claims to accelerate ... has experience adjusting workers' compensation lost time and medical only claims in an insurance company, third party administrator (TPA), or… more
- Black & Veatch (Savannah, GA)
- …assigned subcontracts + Closeout assigned subcontracts + Participates in the resolution/ processing of backcharges and claims , as needed **Management ... Responsibilities** Individual Contributor **Minimum Qualifications** All applicants must be able to complete pre-employment onboarding requirements (if selected) which may include any/all of the following: criminal/civil background check, drug screen, and… more
- State of Georgia (Rockdale County, GA)
- …Program Support Generalist would be responsible for payroll of assigned services units, processing and adjusting failed claims and failed activities, review and ... tracking of billing for Temporary Observation Unit. TO APPLY PLEASE USE THE LINK PROVIDED Program Assistant (Program Support) PRN - Autism CSU - Conyers, GA. https://secure.entertimeonline.com/ta/VPHealth.careers?ShowJob=436555297 Applicants who do not apply… more