- AIG (Atlanta, GA)
- …referral point for colleagues . + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ... Join us as a Senior Claims Adjuster to take on key responsibilities within a world - class claims function. Make your mark in Claims Our Claims teams are… more
- Cognizant (Atlanta, GA)
- …1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. + Excellent ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
- Cognizant (Atlanta, GA)
- …* 1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. * Must be ... claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate… more
- Elevance Health (Atlanta, GA)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of.../ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
- Elevance Health (Atlanta, GA)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- Axis (Alpharetta, GA)
- …investigate assigned claims and develop a resolution strategy + Compliance & Quality Assurance - Comply with best practices measured by monthly Quality ... Plans for all claims groups in Axis Claims . + Responsible for Cycle time, Severity, Quality... Claims . + Responsible for Cycle time, Severity, Quality of claims , Customer Satisfaction level, Professional… more
- Axis (Alpharetta, GA)
- …opportunities the increased use of internal Severity and Coverage resources. + Compliance & Quality Assurance - Comply with best practices measured by monthly ... taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims...Quality Assurance and Management Initiated Audit scores… more
- AIG (Atlanta, GA)
- …continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes + Contribute to maintenance of best ... Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our… more
- Elevance Health (Atlanta, GA)
- …we are actively defining our innovative role in the industry. **Pharmacy Quality Assurance Specialist** **Location:** This role requires associates to be ... as required by law._ **Schedule: Monday - Friday; 8:00am-5:00pm** The **Pharmacy Quality Assurance Specialist** is responsible for evaluating the quality… more
- Mass Markets (Garden City, GA)
- …as a trusted partner in the industry. We are seeking a detail-oriented and strategic Quality Assurance Manager to lead the QA function in our BPO contact center. ... You will be responsible for ensuring service quality , compliance, and continuous improvement across multiple client accounts. This is a key leadership role that… more