- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing ...+ High School Diploma or equivalent + Experience in claim processing required + Medical ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to...claims from HCPs or patients and vetting the claim against program specific business rules to determine if… more
- Cognizant (Atlanta, GA)
- …a High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it… more
- CVS Health (Atlanta, GA)
- …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience ... or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes… more
- CVS Health (Atlanta, GA)
- …materials to manage job responsibilities. **Required Qualifications** + 2+ years of experience with medical claim processing . + 2+ years of experience in a ... claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing...on customer service platforms, specifically by using technical and claims processing expertise. + Apply medical… more
- Sedgwick (Atlanta, GA)
- …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional… more
- Sedgwick (Atlanta, GA)
- …Coverage Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- Sedgwick (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Concentrix (Atlanta, GA)
- …a Customer Service Representative working from home, you will: + Provide customer support processing medical claims in a back-office setting + Help customers ... Job Title: Customer Service Representative-Remote (Healthcare Claims ) Job Description **JOB DESCRIPTION** The Customer Service Representative-Remote (Healthcare … more
- Cognizant (Atlanta, GA)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims ... * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding...of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality… more