- Humana (Atlanta, GA)
- …APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing ... **Become a part of our caring community and help us...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the… more
- Elevance Health (Atlanta, GA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- Sedgwick (Atlanta, GA)
- By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the ... of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known...your insights. + Take advantage of a variety of professional development opportunities that help you perform your best… more
- Sedgwick (Atlanta, GA)
- By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the ... Monday - Friday 9:00 AM - 5:30 PM **Central time (for Training)** Monday - Friday 9:00 AM -...Answer approximately 40 inbound calls per day in a professional and timely manner + Support a wide range… more
- AIG (Atlanta, GA)
- GenAI Product Manager with Claims ExperienceBe part of something groundbreakingAt AIG, we are making long-term investments in a brand-new, innovative Generative ... risk, and we're inviting you to be a key part of that transformation. As a GenAI Product Analyst...looking for + Master's in business administration preferred + Claims or Insurance background is preferred + Gen AI… more
- Elevance Health (Atlanta, GA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The ... qTest is a plus. + Health insurance and medical claims knowledge preferred. + Quality certification such as CMQ,...range of possible compensation for this role at the time of this posting. This range may be modified… more
- Elevance Health (Atlanta, GA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The ... Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed...range of possible compensation for this role at the time of this posting. This range may be modified… more
- State of Georgia (Fulton County, GA)
- …of Georgia. In part , the ADR Division provides mediation services for claims throughout the state - holding over 2,000 mediations per year. Primary Duties and ... workers' compensation disputes and the settlement of workers' compensation claims . Work as a mediator is key to moving...works hard to serve the public, but also takes time to recharge and recommit. The State of Georgia's… more
- Elevance Health (Atlanta, GA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- Mass Markets (Garden City, GA)
- …Company/BrandMCI Location : LocationUS-GA-Garden City Career LevelEntry-Level DivisionBusiness Process Outsourcing Employment TypeFull- Time & Part - Time ... a results-driven environment? We're seeking Collections Representatives who are professional , empathetic, and motivated to help customers resolve outstanding… more