- Prime Therapeutics (Atlanta, GA)
- …skill and understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written and interpersonal communication ... drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy ...duties as assigned **Minimum Qualifications** + Bachelor's degree in Health Science or related area of study, or equivalent… more
- Mass Markets (Savannah, GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... POSITION OVERVIEW CALL CENTER CLAIMS REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS...to support inbound customer service, help desk, and back-office processing . In this role, you will handle inbound inquiries,… more
- Peachtree Orthopedics (Atlanta, GA)
- …insurance claims , payment notices, and audit requests. + Cross-check insurance claims and patient information using Athena before processing . + Establish ... delivering top-notch care to our cherished patients. Your Impactful Role The Mail Processing Manager is responsible for leading and overseeing all mail processing… more
- Public Consulting Group (Atlanta, GA)
- …Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s) to finalize account disposition and/or referring … more
- Elevance Health (Atlanta, GA)
- …Requirements:** Requires HS diploma or equivalent and minimum 2 years internal claims processing (adjustments) experience; or any combination of education and ... would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + Claims processing experience + Knowledge of multiple lines of… more
- Cardinal Health (Atlanta, GA)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will...range:** $15.00 - 21.50 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
- Highmark Health (Atlanta, GA)
- …ESSENTIAL RESPONSIBILITIES: 1. Ensure the consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit ... of specialization. Exempted experience requirements effective August 2016. + Experience in claims and/or inquiry processing or equivalent experience in quality +… more
- Elevance Health (Atlanta, GA)
- …within the enterprise. Included are processes related to enrollment and billing and claims processing , as well as customer service written and verbal inquiries. ... Excel, Teams and Outlook experience. + Understanding of audit methodologies. + Claims processing experience. + Coordination of Benefits experience required,… more
- Cardinal Health (Atlanta, GA)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing . + Processes claims : investigates insurance claims ; ... administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating… more