- Trinity Health (Lavonia, GA)
- …by applying industry experience & specialized knowledge. Responsible for analyzing, processing & editing for correctness based on payer guidelines. Resolves items ... & ensures claims are billed accurately. Processes payments timely. **Minimum Qualifications** High school diploma or equivalent. HFMA CRCR or NAHAM CHAA required… more
- Trinity Health (Lavonia, GA)
- …by applying industry experience & specialized knowledge. Responsible for analyzing, processing & editing for correctness based on payer guidelines. Resolves items ... & ensures claims are billed accurately. Processes payments timely. **Minimum Qualifications** High school diploma or equivalent. HFMA CRCR or NAHAM CHAA required… more
- Trinity Health (Lavonia, 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
- Molina Healthcare (Augusta, GA)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies. * Assists with… more
- Ryder System (Atlanta, GA)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- Cognizant (Atlanta, GA)
- …4:30pm Easter Time Zone **About the role:** As an AR Physician Follow Up representative , you will make an impact by managing and resolving physician claim denials ... identifying root causes and implementing corrective actions. Responsibilities include processing accounts receivables to ensure timely payments, understanding procedures… more
- CVS Health (Atlanta, GA)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic claim ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Fresenius Medical Center (Kennesaw, GA)
- …_within the United States_ PURPOSE AND SCOPE: The Patient Account Representative - Collections provides administrative support to the collections operations within ... the assigned function(s). Through ongoing database maintenance, the Patient Account Representative - Collections ensures the timely receipt of claim payments and… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …continuous improvement and compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews and/or other ad ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Mass Markets (Savannah, GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... POSITION OVERVIEW CUSTOMER SERVICE REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS Looking to rewarding work, from the safety and comfort of your own… more