- Elevance Health (Columbus, GA)
- …by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities… more
- Elevance Health (Atlanta, GA)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...CEMC and CEDC encouraged. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Cardinal Health (Atlanta, GA)
- …data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software ... and paper claim processing + Following up on unpaid claims within standard billing cycle time frame + Calling...- $31.20 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
- CVS Health (Atlanta, GA)
- At CVS Health , we're building a world of health...and payers, while working with other teams to resolve claims issues. + Documenting claims details into ... ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health ...Qualifications** + 1+ years of experience working with medical claims with the understanding of how benefit levels are… more
- CVS Health (Atlanta, GA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...by analyzing data and estimating the expected costs of claims . + Conducting research on Actuarial market trends, competitor… more
- CVS Health (Atlanta, GA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...**Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
- Highmark Health (Atlanta, GA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... industry regulatory changes and assess their potential impact on Claims Operations, Customer Service and other operational areas processes...and investigations + 3 - 5 years in the Health Insurance Industry + 3 - 5 years the… more
- AIG (Atlanta, GA)
- …your skills and experience as a valued member of the team. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- AIG (Atlanta, GA)
- …your skills and experience as a valued member of the team. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Mass Markets (GA)
- …as a trusted partner in the industry. We are seeking a Spanish-speaking Licensed Health Insurance Agent. As a key member of our team, you will be responsible ... for providing exceptional service to clients, assisting with health insurance inquiries, and guiding customers through the process of selecting and enrolling in … more