- WTW (Atlanta, GA)
- …**Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions ... Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance , AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and… more
- Graybar (Savannah, GA)
- …policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions + ... plan options for **Medical, Dental, Vision,** and **Prescription Drug** benefits. + **Life Insurance ** coverage for you and options for your family. + Save on… more
- Walmart (Morrow, GA)
- …and merchandised according to company policies, including proper handling of claims , returns, shrink, and damages. Presents and maintains merchandise presentation by ... coverage **-Financial benefits** include 401(k), stock purchase and company-paid life insurance **-Paid time off benefits** include PTO, parental leave, family care… more
- Burns & McDonnell (Atlanta, GA)
- …Request for Information (RFI's), submittals, change management, contract closeout, and claims mitigation. + Analyze and approve internal and external reports ... plan and implement process for, and assess that project and subcontractor insurance , taxes/duties, licensures, and bonding are in place per the project requirements.… more
- Highmark Health (Atlanta, GA)
- …the healthcare industry. + Understanding of health plan operations, including claims processing, enrollment, billing, and customer service. + Proven track record ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- Evolent (Atlanta, GA)
- …diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorisation data ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Molina Healthcare (Columbus, GA)
- …work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical ... services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes… more
- Molina Healthcare (Augusta, GA)
- …services, pharmacies, and health plan providers in resolving member prescription claims , prior authorizations, and pharmacy service access issues. * Articulates ... of work. * Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA). * Ability to establish and maintain… 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 ... We also offer a comprehensive benefits package including health and dental insurance , 401k retirement savings with company match, flex spending account, paid… more
- Molina Healthcare (Columbus, GA)
- …supervised learning and rule-based logic to detect potentially incorrectly paid claims . + Contribute to improve data quality, perform data audits, identify ... information + Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA) **PROGRAM REQUIREMENTS:** + Must… more