- Molina Healthcare (Atlanta, GA)
- …* Applies contract language, benefits and review of covered services to claims review process. * Contacts members/providers as needed via written and verbal ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine… more
- Otsuka America Pharmaceutical Inc. (GA)
- …the globe. **Position Summary:** The primary purpose of the Clinical Field Specialist role is to build a clinical patient pipeline for Recor-sponsored clinical ... through targeted, data-driven outreach and education. The Field Clinical Specialist also provides procedure support including case proctoring, physician… more
- Molina Healthcare (Atlanta, GA)
- …* Applies contract language, benefits and review of covered services to claims review process. * Contacts providers as needed via written and verbal ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise… more
- State of Georgia (Richmond County, GA)
- …unemployment applicants to obtain the information needed to provide services . Review and process unemployment insurance claims following established procedures. ... DOL Services Specialist - Augusta Georgia - Richmond - Augusta...or in-person contact. . Identify issues on unemployment insurance claims . . Assist customer in creating ID.me accounts and… more
- Sedgwick (Atlanta, GA)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... Representatives on a variety of complex issues including expert review of International Association of Industrial Accident Boards and...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- CVS Health (Atlanta, GA)
- …Efficiently use multiple systems and screens to obtain and record claim information - Review claims information to determine the nature of a member's illness or ... each and every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit...by providing accurate and timely resolution in processing medical claims . You will be a key link in providing… more
- Molina Healthcare (Savannah, GA)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting the member/provider through written… more
- AIG (Atlanta, GA)
- …Adjuster is to investigate, evaluate and resolve first and third-party auto liability claims , minor injury claims and low complexity general liability losses. ... appropriate loss and expense reserves with documented rationale. On-going review of reserves required through life of file. +...+ Communicates effectively with internal and external customers on claims and account issues. + Maintain and manage a… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and ... Property Repair Solutions internal payment team. + Assists with research, review and resolution of carrier issues/concerns.Communicates and coordinates resolution to… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- …healthcare facilities are reimbursed for all procedures. Follow Up on accepted or denied claims . Review denied claims for denial reasons and provide ... 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