- Prime Therapeutics (Atlanta, GA)
- …with a high level of detail and accuracy, to clearly and concisely support conclusions and recommendations. + MISCELLANEOUS DUTIES: + Provide backup support ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
- Elevance Health (Atlanta, GA)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- Sedgwick (Atlanta, GA)
- …Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with ... growth opportunities. + Promoting a strong team environment and a culture of support . + Recognizing your successes and celebrating your achievements. + Thrives when… more
- Molina Healthcare (GA)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... reports. + Generates Provider Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution. **JOB QUALIFICATIONS** **Required… more
- Elevance Health (Atlanta, GA)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …timelines, including sample collection, storage conditions, and analytical testing, to support product development and regulatory submissions. + Author and review ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …access and affordability within aligned financial framework by effectively partnering with patient support and market access teams + Build a team and lead relevant ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Elevance Health (Atlanta, GA)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses… more
- Sedgwick (Atlanta, GA)
- …Services & Insurance Hotel Coordinator **PRIMARY PURPOSE:** To provide carrier support by assisting payments department and management with identifying carrier ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… more
- Executive Office for US Attorneys and the Office of the US… (Atlanta, GA)
- …its employees. Cases include employment discrimination; personal injury/tort; medical malpractice claims arising out of Veterans' hospitals or other federally funded ... health facilities; Bivens actions; Freedom of Information Act challenges; and claims related to decisions by immigration authorities as to legal status, deportation… more