- BayCare Health System (Atlanta, GA)
- …and evaluates compliance related activities and services provided by the BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical ... Clinic, etc. + Performs special audits for specific issues within facility Inpatient claims . + Acts as the Liaison for coding issues with the BayCare Compliance… more
- Catholic Health Initiatives (Ringgold, GA)
- …and Relocation Reimbursement + Relocation Assistance Offered + Malpractice Insurance (Modified Claims Made) + Cell Phone Stipend + Full Benefits Eligibility with ... CommonSpirit Health **About CHI Memorial Medical Group** + CHI Memorial...the nation's 100 Top Hospitals(R) by Thomson Reuters, the health care industry's leading source of information on hospital… more
- Intermountain Health (Atlanta, GA)
- …payor enrollment, clearinghouse setup, and data integrity related to electronic claims submissions. Oversee payor web portal administration, ensuring proper access ... about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) . Intermountain Health is an equal opportunity employer. Qualified applicants will… more
- Highmark Health (Atlanta, GA)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- AON (Alpharetta, GA)
- …questions, and handling complaints for Debt Cancellation programs + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation ... inbound calls, top-notch experience based on client parameters. + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation… more
- Molina Healthcare (Augusta, GA)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- Lowe's (Suwanee, GA)
- …with customer needs, displaying resilience and a drive to make a difference. + ** Health and Wellbeing:** We offer paid time off for vacations, holidays and sick ... with the third-party logistics partner to address and resolve claims (customer and cargo), updates Lowe's claims ...resolve claims (customer and cargo), updates Lowe's claims portal + Process vendor credit for items returned… more
- Sedgwick (Atlanta, GA)
- …& Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in preparing loss experience report… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive… more
- Prime Therapeutics (Atlanta, GA)
- …experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to ... strong client relations + Implementation experience + Thorough understanding of pharmaceutical claims data and general understanding of medical claims data;… more