- Regions Bank (Atlanta, GA)
- …self-starter + Strong data and analytics capabilities + Previous experience with fraud claims is highly preferred for this role + Experience with fraud claims ... with Company Match + Medical, Dental and Vision Benefits + Disability Benefits + Health Savings Account + Flexible Spending Account + Life Insurance + Parental Leave… more
- Command Investigations (Atlanta, GA)
- …Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... are compensatory to advanced, experienced, Investigators pay in the industry + 401(k) + Health Insurance: Medical, Dental, Vision + Paid time off + Paid Travel Time… more
- Waystar (Atlanta, GA)
- …patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. ... The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and ...health systems and hospitals, and 5,000 payers and health plans. For more information, visit waystar.com or follow… more
- Molina Healthcare (Atlanta, GA)
- …Bachelor's Degree or equivalent experience Prior experience in Payment Integrity and/or COB/ Claims roles at a health plan or vendor. Familiarity with ... Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination… more
- Elevance Health (Atlanta, GA)
- …through review, testing and finally data validation. Your goal is to develop claims editing logic and content that promote payment accuracy and transparency across ... and Experiences:** + Scaled Agile Framework Training preferred. + 5+ years of claims editing experience with healthcare payers and/or claims editing software… more
- Molina Healthcare (Augusta, GA)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying,...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
- Elevance Health (Atlanta, GA)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ... processing environment preferred Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Cardinal Health (Atlanta, GA)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… 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 ...activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through… more
- Elevance Health (Atlanta, 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 ... is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and… more