- Evolent (Atlanta, GA)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- AON (Atlanta, GA)
- …Marshals appropriate Aon resources to support clients in unusual circumstances such as large claims , etc. Skills and experience that will lead to success + Must have ... sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent...to support clients in unusual circumstances such as large claims , etc. Skills and experience that will lead to… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Encounter Data ... Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- UNUM (Atlanta, GA)
- …+ Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid ... time to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health support + Career advancement opportunities + Student loan repayment options + Tuition… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a ... appeals experience + Prior experience interpreting Member Benefits and Medical Claims + Previous experience processing medical authorizations + Bilingual (English… more
- Molina Healthcare (Savannah, GA)
- …software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and ... + Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management, clinical indicators, industry benchmark, and/or… more
- Walgreens (Savannah, GA)
- …Labor. This apprenticeship program gives you an entry point to a career in health care by guiding you in taking steps towards becoming a Pharmacy Technician ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Alpharetta, GA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Pendergrass, GA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Sedgwick (Atlanta, GA)
- …in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face ... AND LICENSING** RN licensure preferred; or bachelor's degree in health or human services field required with one of...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more