- The Clorox Company (Alpharetta, GA)
- …**Your role at Clorox:** The Senior Regulatory Specialist will serve as a strategic regulatory partner ... 312, CDER, Cosmetics Direct). **Documentation & Communication** + Prepare and review regulatory documentation including but not limited to ingredient assessments,… more
- AIG (Atlanta, GA)
- …Customers Fairly' in claims handling. + You will proactively identify and review suspect/fraudulent claims on a consistent basis - dealing with such ... of legal / regulatory and litigation / procedural requirements for marine claims . + Specialist knowledge of marine technical claims topics is preferred. +… more
- Cardinal Health (Atlanta, GA)
- …- 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Atlanta, GA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Molina Healthcare (Atlanta, GA)
- …post pay claims with corresponding medical records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines, and provider ... and medical records to document relevant findings of a post pay clinical review . This position manages documents and prioritizes case load to ensure timely turn… more
- Elevance Health (Atlanta, GA)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines… more
- Molina Healthcare (Savannah, GA)
- …care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports (LTSS), or ... likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge… more
- Prime Therapeutics (Atlanta, GA)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting to the ... in the market. **Responsibilities** * Serve as a line of business specialist responsible for managing client relationships within assigned health plan/s; effectively… more
- State of Georgia (Fulton County, GA)
- …across both program areas. + Troubleshoot and resolve escalated GHVP claims -related issues, including payment denials, corrections, and recoupments. + Review ... or customer account management + Experience in moderate accounting and the review and explanation of financial ledger details, vendor/payment records, and/or account… more
- United Musculoskeletal Partners (Atlanta, GA)
- …the patient visit, the patient is ready for check out.The Checkout Specialist works in a fast-paced environment, providing outstanding customer service to all ... patients. General duties include insurance benefit review with the patient, collection of time of service...in the EMR system at Check-Out + Submits appropriate claims for Real Time Adjudication + Works "Day End… more