- Highmark Health (Atlanta, GA)
- … management skills + Knowledgeable in enrollment and billing, claims , and telephone customer service and written correspondence processes and applications ... **Company :** United Concordia Dental **Job Description :** **JOB SUMMARY** MUST BE...supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for strategically ... responsible for providing strategic insight and ensuring smooth day-to-day data lifecycle management processes and activities for data assets as follows: + Providing… more
- Sedgwick (Atlanta, GA)
- …as applicable to line of business preferred. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience ... - Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims … more
- Humana (Atlanta, GA)
- …in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep… more
- Sedgwick (Atlanta, GA)
- …college or university preferred. **Experience** : 3-4 years of Workers Compensation claims management experience or equivalent combination of education and ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. The statements contained… more
- Humana (Atlanta, GA)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data … more
- Humana (Atlanta, GA)
- …in determining objectives and approaches to assignments. The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation… more
- NDCP (Duluth, GA)
- …+ Bonus potential The Workers' Compensation Manager (WC) is responsible for all WC-related claims management , including proactive management of WC claims ... aptitude to quickly pick up the functional use of claims and/or risk management systems (based on...comprehensive offerings include: + A variety of affordable Medical, Dental and Vision coverage + Flexible Spending Accounts +… more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... of the appropriate courses of action. The Encounter Data Management Professional develops business processes to ensure successful submission...Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience… more