- Molina Healthcare (GA)
- …for reviewing and resolving member and provider complaints and communicating resolution to members or authorized representatives in accordance with the standards ... for a small group of employees responsible for submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members, providers and… more
- Molina Healthcare (Augusta, GA)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more
- Allied Universal (Augusta, GA)
- …company discounts, perks, and more. Allied Universal(R) is hiring a Branch Support Specialist . The Branch Support Specialist is responsible for being the primary ... contact for branch management for all general benefit issues, resolution of payroll discrepancies, compliance reporting, uniform/equipment management, and… more
- ADP (Alpharetta, GA)
- ADP is hiring a **Benefit Solutions Specialist - I.** **POSITION SUMMARY:** Ensures platform configuration and readiness to support a client through their annual ... necessary ADP-specific tasks are accomplished on time and as required. The Specialist is responsible for all hands-on configuration and related activities for both… more
- Sedgwick (Atlanta, GA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Folio Specialist **PRIMARY PURPOSE:** To assist Property Repair Solutions customers (homeowners, ... year of experience in construction management, restoration and/or insurance claims and customer service required. Chronicle software experience preferred. **Skills… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- …all procedures. Follow Up on accepted or denied claims . Review denied claims for denial reasons and provide resolution . Investigate insurance fraud and ... SUMMARY: We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for a… more
- Sedgwick (Atlanta, GA)
- …Best Workplaces in Financial Services & Insurance Remote Housing Support Specialist **REMOTE POSITION** **Schedule: MONDAY - FRIDAY 11AM-8PM EST** **PRIMARY ... adjusters, and vendors to ensure smooth transitions and effective problem resolution during the housing period. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Serves… more
- Centene Corporation (Atlanta, GA)
- …Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set up. + ... with all policies and standards **Education/Experience:** Associate's degree and claims processing, billing and/or coding experience preferred. Three years of… more
- Molina Healthcare (Columbus, GA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... areas of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate… more
- Republic Finance, LLC (Stockbridge, GA)
- …in the financial services industry for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides… more