- Molina Healthcare (Augusta, GA)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... years operational managed care experience (call center, appeals or claims environment). + Health claims processing...center, appeals or claims environment). + Health claims processing background, including coordination of benefits,… more
- Cardinal Health (Atlanta, GA)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of… more
- Elevance Health (Atlanta, GA)
- …+ Requires a HS diploma or equivalent and minimum of 4 years claims processing and/or customer service experience; or any combination of education ... AA/AS or higher level degree preferred. + Leadership experience in a claims processing environment preferred Please be advised that Elevance Health only accepts… more
- Intermountain Health (Atlanta, GA)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing , denials, payments, customer service, and follow up ... + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Physical Requirements:**… more
- Molina Healthcare (Macon, GA)
- …Provides leadership and direction to MMS Operational Units management staff (eg, Claims Processing , Provider Services, Provider Enrollment, Finance, Managed Care ... or equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high… more
- Molina Healthcare (GA)
- …and tests assumptions through data, but leads with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- CCMS & Associates (Dalton, GA)
- …effectively with adjusters, insurers, and repair facilities to ensure seamless claims processing . + Maintain professional, customer-focused interactions with ... costs, and delivering high-quality appraisals for auto and heavy equipment claims . Job Responsibilities: + Conduct field inspections and appraisals of automobiles,… more
- Molina Healthcare (Augusta, GA)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Create succinct ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Molina Healthcare (Atlanta, GA)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Centene Corporation (Atlanta, GA)
- …Complies with all policies and standards **Education/Experience:** Associate's degree and claims processing , billing and/or coding experience preferred. Three ... up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting… more