- Elevance Health (Atlanta, GA)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... and finally data validation. Your goal is to develop claims editing logic and content that promote payment accuracy...auditing guidelines. + Provide in-depth research on regulations and support edits with official documents. + Validate if edits… more
- NDCP (Duluth, GA)
- …a $3 billion global supply chain management company serving Dunkin' franchisees. We support over 10,000 quick service restaurants in the US and distribute products ... potential The Workers' Compensation Manager (WC) is responsible for all WC-related claims management, including proactive management of WC claims to accelerate… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Molina Healthcare (Augusta, GA)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with Network to… more
- Evolent (Atlanta, GA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding ... Support Manager to be a core member of the...and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure… more
- Cardinal Health (Atlanta, GA)
- …understanding of service level goals and objectives when providing customer support . + Demonstrates ability to respond to non-standard requests from vendors ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… 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. ... and damages. Must document facts and maintain evidence to support claim resolution. + Comply with all statutory and...+ Communicates effectively with internal and external customers on claims and account issues. + Maintain and manage a… more
- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality ... Navigator (ASN) by coordinating services and researching necessary resources to support the beneficiary and increase access to services; conduct non-clinical… more
- Mass Markets (Garden City, GA)
- …in the industry. We are seeking a tech-savvy and customer-oriented Technical Support Representative to provide first-level support for technical issues in ... pre-employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Respond to technical support calls, emails, or chats from customers. + Troubleshoot hardware,… more
- State of Georgia (Rockdale County, GA)
- Program Assistant (Program Support ) PRN - Autism CSU - Conyers, GA. Georgia - Rockdale - Conyers ... Hot (https://ga.referrals.selectminds.com/landingpages/administrative-operations- support -opportunities-at-team-georgia-16) Administrative & Operations Support View… more