- 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 ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- Molina Healthcare (Atlanta, GA)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- Seek Now (GA)
- …simple, compelling value propositions that resonate with carriers, adjusters, and claims leaders. + Lead competitive intelligence and market analysis; synthesize ... Platform for insurers. + Partner with the Content & Thought Leadership Specialist to produce compelling case studies, whitepapers, and point-of-view pieces that… more
- Molina Healthcare (Savannah, GA)
- …likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge ... specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program… more
- PruittHealth (Norcross, GA)
- …all home infusion services. * Oversee the preparation and submission of insurance claims , verify patient benefits and payer contracts, and manage follow-up on denied ... or unpaid claims . * Ensure billing codes, documentation, and reimbursement amounts...certifications such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or Certified Revenue Cycle Professional (CRCP) are… more
- BrightSpring Health Services (Valdosta, GA)
- …report out. + Complete follow up process to ensure full adjudication of claims . + Identifies adjustments throughout the month for assigned Operations. + Timely ... claim denials, exceptions, or exclusions. + Maintain open communication with Billing Specialist , Cash Application Analyst and Operations. + Send cash transfer &… 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 weekly ... or two (2) years of experience required at the lower level Complnc Specialist 1 (RCP060) or position equivalent. Note: Some positions may require a certification… more
- Ryder System (Fairburn, GA)
- …Supply Chain Environment with State of the Art Equipment Various warehouse fulfillment specialist roles at Ryder support distribution across the US. Apply here with ... times, product cuts, loads not picked up by the carrier, and damage claims + Coordinates processing of export orders, filling out export paperwork, generates export… more
- Trinity Health (Athens, GA)
- …coding required. Ability to explain insurance benefits. **Patient Access Account Specialist ** Additional minimum qualification of two plus (2+) years hospital ... for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely. **Minimum Qualifications** High school… more
- Medtronic (GA)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more