- Command Investigations (Atlanta, GA)
- …management skills. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your ... Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE,… more
- Command Investigations (Atlanta, GA)
- …all assignments. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your ... hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
- Waystar (Atlanta, GA)
- …in a concise but thorough fashion + An understanding of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either ... websites + Ability to understand the vocabulary used in hospital & professional revenue cycle operations, including healthcare coding such as DRGs, CPT/HCPC, Revenue… more
- Prime Healthcare (Riverdale, GA)
- …years of inpatient experience preferred. + Experience in risk management and/or professional liability claims management preferred. + Should be knowledgeable ... in risk-related activities in this area + Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events.… more
- Humana (Atlanta, GA)
- …caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... the appropriate courses of action. The Encounter Data Management Professional develops business processes to ensure successful submission and...Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience… more
- Evolent (Atlanta, GA)
- …mining, advanced/ statistical analysis, and data manipulation + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and… more
- Elevance Health (Atlanta, GA)
- …and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and ... healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding,… more
- Elevance Health (Atlanta, GA)
- …and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
- Allied Universal (Mcdonough, GA)
- …Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property Casualty ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....consulting projects, and other assignments as directed + Produce professional and expert reports, memos, and letters that are… more
- Evolent (Atlanta, GA)
- …administration, epidemiology, public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, ... or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and… more