- CVS Health (Atlanta, GA)
- …the creation of AI-driven solutions to optimize healthcare processes, such as claims processing , patient care coordination, pharmacy operations, and supply chain ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
- Option Care Health (Atlanta, GA)
- …up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing . Sends letters to the ... limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate...our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients,… more
- Trinity Health (Athens, GA)
- …or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or customer ... experience in another industry. **Our Commitment to Diversity and Inclusion** Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the… more
- Highmark Health (Atlanta, GA)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- Highmark Health (Atlanta, GA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** +...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …datasets from IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary) + Strength in one or ... tools such as MicroStrategy, PowerBI, etc + Experience in processing , analyzing, and synthesizing various data sources (syndicated, specialty...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Atlanta, GA)
- …combined pharmacy and PBM experience to include:##1 year of work experience in claims processing in an operations, audit or quality assurance environment##1 year ... understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and… more
- Walmart (East Point, GA)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Intermountain Health (Atlanta, GA)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... analysis. + Demonstrates computer skills including spreadsheets, databases, word processing , and Internet. + Demonstrated experience with third-party financial… more
- Intermountain Health (Atlanta, GA)
- …Maintaining credit resolution vendor relations. Ensuring the accurate and timely processing of patient credits, active participation in system integration testing, ... years of experience in Healthcare Revenue Cycle (Credit Balance/Resolution, Payment Posting, Claims , Billing, and Insurance and Follow-up) . Three (3) years of… more