• Provider Enrollment Specialist

    Intermountain Health (Atlanta, GA)
    …Participates in team work sessions for each market to address Epic hold and denial work queues and communicate issues and trends to leadership. Collaborates with AR ... to identify claim denial trends and with Coding to identify trend denials...High School graduate or equivalent is required + One ( 1 ) year previous work experience in healthcare + Preferred… more
    Intermountain Health (10/31/25)
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  • Associate Specialist , Appeals & Grievances…

    Molina Healthcare (Augusta, GA)
    …responses to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with ... **REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer… more
    Molina Healthcare (10/17/25)
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  • Warehouse Specialist

    Uniti (Sugar Hill, GA)
    …and businesses** . ** ** **About the Role:** In this Warehouse Specialist position, you will perform all daily warehousing functions including receiving, ... School diploma or equivalent and 2+ years' experience with 1 2 years directly related to the job. +...during the application or interview process may result in denial of employment, withdrawal of offer, or termination. **Job… more
    Uniti (10/01/25)
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  • Associate Specialist , Appeals & Grievances…

    Molina Healthcare (Columbus, GA)
    …appeals to the next level for review. * Generates and mails denial letters. * Provides support for interdepartmental issues to help coordinate problem-solving ... and other member/provider complaints. **Required Qualifications** * At least 1 year of experience in claims, and/or 1... 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health… more
    Molina Healthcare (10/26/25)
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  • RN Medical Claim Review Nurse Remote

    Molina Healthcare (GA)
    …details in the database. * Provides supporting documentation management for denial and modification of payment decisions. * Independently re-evaluates medical claims ... clinical guidelines and other appropriate criteria with medical directors on denial decisions. * Supplies criteria supporting all recommendations for denial… more
    Molina Healthcare (10/19/25)
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