- Mass Markets (Savannah, GA)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Actalent (Atlanta, GA)
- …quality improvement reviews, and maintaining communication with various healthcare professionals and departments. Responsibilities + Carry out precertification ... case managers, SNF/Rehab care coordinators, members, providers, Customer Service, Claims , Contracts and Benefits - Appeals, and Risk Management. Essential… more
- Carrington (Atlanta, GA)
- …high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of ... To read more visit: www.carringtonmortgage.com . **What We Offer:** + Comprehensive healthcare plans for you and your family. Plus, a discretionary 401(k) match… more
- Centene Corporation (Atlanta, GA)
- …support for business operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting + ... experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in… more
- National Vision (Duluth, GA)
- …reimbursement rates to determine payer reserve analysis + Monitoring billing, claims processing, and payment reconciliations performed by the RSC managed care ... rates through the use of Microsoft BI. + Ensuring alignment with healthcare regulations and payer policies. + Using financial payer data (data analytics)… more
- CVS Health (Atlanta, GA)
- …**Required Qualifications** + 2+ years of health insurance work experience and/or Healthcare Insurance Quality Review + 2+ years of experience working with diagnosis ... of problem solving and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High School Diploma or equivalent… more
- Mass Markets (GA)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Fresenius Medical Center (Atlanta, GA)
- …project specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global contracts and analysis ... SKILLS: + Minimum 6 years of experience to include financial analysis in healthcare environment. + 3+ years' experience as a Manager; or 3+ years' experience… more
- Trinity Health (Athens, GA)
- …for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely. **Minimum Qualifications** High school ... be a part of Trinity Health, one of the nations largest Catholic Healthcare Organizations. St Mary's Health Care System includes three hospitals, numerous physician… more
- Cardinal Health (Atlanta, GA)
- …a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The ... as billing and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintains detailed… more