- Molina Healthcare (Columbus, GA)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- PruittHealth (Norcross, GA)
- …consistent and flexible manner while supervising all aspects of Account Care Specialist 's team. ACL must have excellent decision-making skills lead the staff in ... facility regarding back-order reports, research, shortages and damaged item claims . Works closely with inventory control + Lead and...with inventory control + Lead and monitor Account Care Specialist Team + Display a knowledge of all products… more
- Medtronic (GA)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- Molina Healthcare (Savannah, GA)
- …providers who: * Are aligned with our mission to provide quality health services to financially vulnerable families and individuals covered by government programs; ... purposes of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …(ie, LPN, RN, etc.). + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credentials required. + Certification in Health Care Compliance ... what you want to be. We provide: * Comprehensive health benefits that start day 1 * Student Loan...as well as Epic EMR. + Working knowledge of claims data and analysis, with experience working in the… more
- AIG (Atlanta, GA)
- …Join us as an Actuary - Canada Casualty Pricing to make more of your specialist expertise and experience. At AIG, we are reimagining the way we help customers to ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an… more