- EPAM Systems (Atlanta, GA)
- …that align with commercial goals and regulatory standards in a dynamic healthcare environment. EPAM is where leaders shape the future - driving transformation, ... E2E testing strategies + Develop and communicate test strategies covering pharmacy claims processing, NCPDP transactions, and benefit designs + Design test scenarios… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Job Summary** Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Company Background/Culture** Otsuka is a global healthcare company with the corporate philosophy: "Otsuka people creating new products for better health ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Position Summary** The Director, HCP Marketing Lead guides the healthcare provider (HCP) engagement strategy for Centanafadine, a novel launch product for ADHD. ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- …Translate patient information and alphanumeric medical code entries. Electronic "clean" claims submissions to Insurance Carriers. Collect, post, and manage patient ... and file paperwork. Analyzing and correcting coding errors. Ensure healthcare facilities are reimbursed for all procedures. Follow Up...for all procedures. Follow Up on accepted or denied claims . Review denied claims for denial reasons… more
- Sumitomo Pharma (Atlanta, GA)
- …and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling + ... of advisory comments and any other interactions regarding use of promotional claims for assigned products, including pre-clearance of launch materials. + Direct and… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …federal laws, regulations and guidelines including PhRMA Code on Interactions with Healthcare Professionals as well as complying with all OAPI standards and policies ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Elevance Health (Atlanta, GA)
- …+ Trains associates on all upskilling of customer service and claims to include providing professional medical service facility correspondence, usage of ... healthcare provider portals, and adjustments. + Serves as an...equivalent background. **Preferred Skills, Capabilities and Experiences:** + FEP Claims or Customer Service experience highly preferred. + Strong… more
- Humana (Atlanta, GA)
- …**2+ years of customer service experience** o **Must have experience in the healthcare industry or medical field** o Strong data entry skills required o Intermediate ... center or related customer service experience o Previous experience processing medical claims o Bilingual (English and Spanish); with the ability to read, write,… more
- Humana (Atlanta, GA)
- …timely and accurate submission of mandated reports, leveraging their understanding of claims data and Medicaid program requirements to drive accurate and timely ... pivot tables and summarizing data into reports and dashboards + Experience working with claims data + Experience working with big and complex data sets within large… more