- Molina Healthcare (Atlanta, GA)
- …years of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of ... State & Federal laws and regulations pertaining to health insurance , investigations & legal processes (Commercial insurance ,...+ Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems. + Demonstrated ability to… more
- GuideOne Insurance (Atlanta, GA)
- …that leverage large language models (LLMs), Generative AI, and natural language processing (NLP) to enhance customer and agent experiences. This includes developing ... smart, impactful tools that make a real difference. Responsibilities: Multimodal Data Processing and Automation + Ingest and preprocess diverse file types: PDFs,… more
- Kemper (Savannah, GA)
- …to our stakeholders that delivers on our promises._ **Role: Life Insurance Sales Agent** **Employment Type:** Full-Time with Benefits **Work Arrangement:** Field ... Role **Career and Opportunity** Kemper is a diversified insurance holding company with a history spanning over 100...Responding promptly to service requests such as beneficiary changes, claims , and loans + Record keeping, accounting for money… more
- Kemper (Macon, GA)
- …to our stakeholders that delivers on our promises._ **_Role: Life Insurance Sales Agent_** **_Employment Type:_** _Full-Time with Benefits_ **_Work Arrangement:_** ... _Field Role_ **_Career and Opportunity_** _Kemper is a diversified insurance holding company with a history spanning over 100 years. We are firmly committed to… more
- Cognizant (Atlanta, GA)
- …root causes and implementing corrective actions. Responsibilities include processing accounts receivables to ensure timely payments, understanding procedures ... advanced work related to resolving physician claim denials. + **Accounts Receivables processing ** : getting the payment processed. + **Root Cause Analysis** :… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... to create a unified view of stakeholder interactions. + Apply natural language processing (NLP) to extract insights from unstructured medical texts, such as clinical… more
- Fresenius Medical Center (Kennesaw, GA)
- …your home location _within the United States_ PURPOSE AND SCOPE: The Insurance Representative provides general administrative support in the insurance ... within the assigned function(s). + Review, investigate and resolve outstanding claims in coordination with cross-divisional teams and/or vendors to obtain the… more
- Humana (Atlanta, GA)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and ... of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing experience + Experience in data analysis and trend monitoring… more
- CVS Health (Atlanta, GA)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic claim ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Mass Markets (Savannah, GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more