- Evolent (Atlanta, GA)
- …to analyze source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create & maintain queries ... required to analyze system processing in detail + provide summary information to stakeholders...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- GAP Solutions Inc (Atlanta, GA)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more
- Waystar (Atlanta, GA)
- …**timeliness** . + Build data infrastructure to support real-time and batch processing use cases for customer-facing products. + Establish and enforce **data quality ... indexing, and clustering strategies to improve query performance and reduce processing time. + Develop and maintain secure de-dentification and data-sharing… more
- Walmart (Lithia Springs, GA)
- …requests Respond to internal and external customer calls related to orders claims damages billing issues etc by researching and resolving systemrelated issues ... down reports billing user access coding filing etc Systems OperationsData Processing Maintains operation of system hardware and software through monitoring… more
- CenterWell (Savannah, GA)
- …properly and in a timely manner. . Receiving and efficiently processing patient prescriptions, assisting in preparing and delivering medications under direct ... filing system updated for multiple procedures/processes. . Assists with pharmacy claims adjudication including calling insurances to assess and correct pharmacy … more
- Elevance Health (Atlanta, GA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- IQVIA (Atlanta, GA)
- …cards or vouchers. The **Care Navigator** is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific ... employee. **Job Responsibilities:** + Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation… more
- Legacy Parking Company (Atlanta, GA)
- …of Assistant Managers and Team Leaders + Monitor and review all damage claims . Recommend and implement plans or programs to improve safety of operations to ... prevent the occurrence or reoccurrence of similar claims + Monitor facility maintenance for cleanliness standards and...to budget and revenue enhancements. + Responsible for payroll processing ; ensuring sign off on hours in timely manner;… more
- Norstella (Atlanta, GA)
- …to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You ... teams to develop and refine database queries, data pipelines, and processing workflows, incorporating AI/ML methodologies for advanced analytics. + Partner with… more
- Sedgwick (Atlanta, GA)
- …directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more