- Cognizant (Atlanta, GA)
- …training regimen._ **Key Responsibilities-** + _Claims Processing:_ Review, validate, and process healthcare claims submitted by providers in accordance with US ... This remote position offers the flexibility of working from home during day shifts allowing you to balance work...commercial payers). + 2-4 years of experience in US healthcare claims processing + Familiarity with … more
- DriveTime (Stockbridge, GA)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... 1 million service contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **Responsibilities of the Job (Or Better… more
- Mass Markets (GA)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Listen to customers,… more
- Mass Markets (GA)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Handle inbound and… more
- Humana (Atlanta, GA)
- …and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are ... payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes,...to make an impact** **WORK STYLE:** 100% work at home /remote **WORK HOURS:** Typical business hours are Monday-Friday, 8… more
- Humana (Atlanta, GA)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... metrics-driven environment. If you are looking to work from home , for a Fortune 100 company that focuses on...payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments.… more
- Humana (Atlanta, GA)
- …Medicare/Medicaid Experience + Previous experience in utilization management + Previous claims experience **Work-At- Home Requirements** To ensure Home ... G&A Medicare Medical Directors. The Nurse reviews the medical documentation, researching claims , benefits, as well as prior determinations pertinent to the appeal… more
- Humana (Atlanta, GA)
- …Bachelor's Degree in analytics or related field + Advanced Degree + Understanding of healthcare membership, claims , and other data sources used to evaluate cost ... first** The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, and… more
- Humana (Atlanta, GA)
- …**CCS/** **RHIT/ RHIA** + 5+ years' work experience reading and interpreting claims + 2+ years verifiable experience in MSDRG disputes/audits + Comprehensive ... in a fast paced, metric driven operational setting **Additional Information** Work at Home /Remote Requirements **Work-At- Home Requirements** + To ensure Home … more
- Humana (Atlanta, GA)
- …policies and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, dispute resolution + ... Healthcare and/or managed care experience **Additional Information** + **Travel**...**Travel** : Up to 5%, possibly out of your home state. + **Workstyle:** Remote, must work hours within… more