- Guidehouse (Atlanta, GA)
- …audiences (including various levels of management and external clients) in a professional business environment. Scope and staff projects to meet client requirements. ... as ICD-10, DRG, and CPT + Experience with commercial health datasets, eg, claims , encounters, risk scoring, HEDIS measures, etc. + Knowledge of recent and ongoing… more
- J&J Family of Companies (Macon, GA)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... health (MPH) is preferred. + Minimum of 5 years of relevant professional experience + Account Management and/or Reimbursement experience working in the hospital… more
- Kemper (Athens, GA)
- …believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly ... Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + Appropriately keeping records, accounting for money… more
- Upstone Materials (Augusta, GA)
- …USA, we provide competitive pay, outstanding benefits, career advancement opportunities, professional education, and extensive training for every employee. We pride ... initiatives + Manages the investigation and review of all incidents/accidents and claims management in his/her region and is responsible for determining and… more
- CVS Health (Atlanta, GA)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Bilingual English/Spanish + Dental… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- …Consider joining CGI, a premier consulting firm that encourages personal and professional growth and values your ideas. **Your future duties and responsibilities:** ... (PC or CC). * Strong understanding of P&C insurance operations (underwriting, billing, claims ). * Experience with Agile and hybrid delivery models. * Proficiency in… more
- BD (Becton, Dickinson and Company) (Covington, GA)
- …questions + Provide timely review and approval of product labeling and marketing claims for regulatory compliance + Update STED technical files for CE marking ... compensation package offered, including comprehensive benefits and opportunities for professional growth. At BD, we prioritize on-site collaboration because we… more
- Samsung SDS America (Duluth, GA)
- …+ Investigate and report service failures, accidents, misconduct, security incidents, or claims to the appropriate departments for timely resolution. + Prepare and ... Holidays + Paid Time off + Additional benefits Samsung SDS America supports your professional development and growth in your future career. Your base pay is one part… more
- Philadelphia Insurance Companies (Alpharetta, GA)
- …Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- NDCP (Mcdonough, GA)
- …confidential and time-sensitive materials, hence, requires a person of the highest professional ethics and integrity. Relies on experience and judgment to plan and ... and non-routine information discreetly and professionally. + Respond to unemployment claims . + Assist with ensuring quarterly drug screens are completed on… more