- Hargrove Engineers & Constructors (Mcintyre, GA)
- …build long-term support relationships in the energy generation, manufacturing, research and development, and process-heavy industry in on-site support arrangements, ... installations and contact maintenance repair work. + Work with the Engineering Manager and maintenance department to make recommendations on the constructability of… more
- Molina Healthcare (Atlanta, GA)
- …highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of ... related to over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and...operations + Must have strong understanding of QNXT claims processes + Must be able to identify and… more
- Molina Healthcare (Atlanta, GA)
- …membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment ... questions or concerns received via claims , call tracking, or e-mail. Maintain records in the...needed + Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for… more
- Elevance Health (Atlanta, GA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... + Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and...and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize… more
- Carter's/OshKosh (Atlanta, GA)
- …& Compliance Analyst plays a key role in optimizing Carter's workforce operations by ensuring the integrity of Time & Labor Management systems, maintaining ... and compliant employee data within Workday, and overseeing the unemployment claims process in coordination with a third-party administrator. This position supports… more
- BrightSpring Health Services (Valdosta, GA)
- …from insurance companies, patients and providers.* Regularly meet with Business Office Manager in Operations to discuss and resolve reimbursement issues or ... read more below and apply today! Responsibilities * Analyze aging for assigned operations and follow up on all outstanding accounts. Provide proper coding and… more
- Elevance Health (Atlanta, GA)
- …quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research , a minimum of 3 years direct experience ... Analytics Analyst Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to… more