- Molina Healthcare (Columbus, GA)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems ... QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office,… more
- PruittHealth (Norcross, GA)
- …and AR collections processes for a group of Healthcare Centers through American Health Tech's Long Term Care (LTC) software program. Successful individuals are able ... **ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:** * Prepare and transmit Insurance claims . * Research, correct and re-bill outstanding Insurance claims .… more
- Molina Healthcare (Savannah, GA)
- …ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position ... and regulatory requirements, while meeting production goals. * Communicates with health care providers to clarify questions and request any missing information.… more
- AIG (Atlanta, GA)
- …strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners, ... spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- Molina Healthcare (Savannah, GA)
- …of system set-up and a resource for all departments and health plans company-wide. **Knowledge/Skills/Abilities** * Conduct interviews with staff and management ... encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's… more
- Cardinal Health (Atlanta, GA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Elevance Health (Atlanta, GA)
- …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 ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Elevance Health (Atlanta, GA)
- …preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist ... Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes...York; Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- AIG (Atlanta, GA)
- …to make more of your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Kemper (Alpharetta, GA)
- …attorney represented injury claims , complex injury claims , and litigated claims . The Litigation Specialist will have advanced claim handling skills and ... Responsibilities:** + Successfully handle any complex coverage or liability claims investigation. + Evaluate complex injury claims ...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more