- Molina Healthcare (Columbus, GA)
- …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
- Molina Healthcare (Augusta, GA)
- …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing , and knowledge...Medicaid and Medicare claims denials and appeals processing , and knowledge of regulatory guidelines for Provider No… more
- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- CVS Health (Atlanta, GA)
- …+ 2+ years of experience with health care data entry and/or claims processing . + 1-3 years of customer service experience. **Preferred Qualifications** + ... At CVS Health , we're building a world of health ...balances claims data and invoices in the claims processing system. + Coordinates client billing and… more
- Elevance Health (Atlanta, GA)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... / revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring compliance with… more
- Cognizant (Atlanta, GA)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the role:** As ... Now and Inquiry resolution, and any basic questions regarding health coverage as stated in the employer's Plan Document....to be considered:** * A minimum of 1 year claims processing is required. * Knowledge of… more
- Sedgwick (Atlanta, GA)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you looking… more
- Cognizant (Atlanta, GA)
- …least a High School Diploma or equivalent is required + A minimum of 1 years claims processing is required + Facets experience is highly preferred + Knowledge of ... payment and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures + Must be… more
- AIG (Atlanta, GA)
- …objectives while managing cross-functional teams. What you need to know Knowledge of Claims Processing : Success in this role requires a deep understanding of ... Claims IT Platform Director - GenAI Be part...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- AIG (Atlanta, GA)
- …Law Firms with an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall include; + Negotiate commercial ... help customers to manage risk. Join us as a Claims Law Firm Analyst to play your part in...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more