• Claim Governance and Control Lead

    AIG (Atlanta, GA)
    …to make more of your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... claims experience of 7+ years handling and/or managing claims with a commercial or personal line insurance... claims with a commercial or personal line insurance carrier. + Strong Interpersonal skills with the ability… more
    AIG (08/18/25)
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  • Investigator - Special Investigations Unit

    Allied Universal (Mcdonough, GA)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services ... flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use...prior to applying.** **RESPONSIBILITIES:** + Independently investigate suspected fraudulent insurance claims for a variety of coverage… more
    Allied Universal (08/17/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Atlanta, GA)
    …things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by… more
    Cardinal Health (08/24/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
    Elevance Health (08/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
    Elevance Health (08/13/25)
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  • Accounts Receivable Process Analyst

    BrightSpring Health Services (Valdosta, GA)
    …private insurance and/or federally funded programs, researching agings and claims .* Experience in reading and understanding remits for denial reasons and ... accounts list, code and comment prior to monthly Critical Account call.* Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging… more
    BrightSpring Health Services (08/12/25)
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  • Lead Data Scientist - Research and Development…

    Highmark Health (Atlanta, GA)
    …work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means ... leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights… more
    Highmark Health (08/29/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Savannah, GA)
    …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... with the Chief Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina and presents cases… more
    Molina Healthcare (08/15/25)
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  • Certified Coder (Risk Adjustment/Outpatient…

    Molina Healthcare (Atlanta, GA)
    …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical ... and written communication skills + Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) + Ability to establish and… more
    Molina Healthcare (08/21/25)
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  • Art Director (Remote - Georgia)

    Morley (Savannah, GA)
    …**_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am - 5 pm Eastern ... coverage, including free annual physicals + Dental and vision insurance + Paid time off + Associate wellness program...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
    Morley (08/16/25)
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