- IQVIA (Atlanta, GA)
- …Experience:** + High School Diploma or equivalent + Experience in claim processing required + Required to have active Medical Billing Certification with CEUs ... vouchers. The **Care Navigator** is primarily responsible for receiving medical claims from HCPs or patients and...claims from HCPs or patients and vetting the claim against program specific business rules to determine if… more
- Fresenius Medical Center (Kennesaw, GA)
- …of outstanding payments from past due accounts. + Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data. + ... the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient… more
- Molina Healthcare (GA)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... + Min. 3 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including… more
- Molina Healthcare (Augusta, GA)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments...years operational managed care experience (call center, appeals or claims environment). + Health claims processing… more
- Cardinal Health (Atlanta, GA)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will...company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with… more
- Centene Corporation (Atlanta, GA)
- …Complies with all policies and standards **Education/Experience:** Associate's degree and claims processing , billing and/or coding experience preferred. Three ... groups and model contract + Research and identify any processing inaccuracies in claim payments and route...provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care, managed… more
- Lowe's (Suwanee, GA)
- …+ Escalated customer concern resolution + Working alerts and queues + Inputting customer claims into the claim portal system + Responsible to support delivery ... Delivery processes to solve inquiries/issues and maintain customer satisfaction. Processing orders and fulfilling customer needs to ensure customer satisfaction.… more
- Canon USA & Affiliates (Atlanta, GA)
- **Mgr Medical Affairs - Clinical Development Sr - HIT - req1494** **OVERVIEW** Works independently and as part of a dynamic and fast-paced team of clinical and ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… more
- Cardinal Health (Atlanta, GA)
- …reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard ... administration, customer and vendor pricing, rebates, billing (including dropships), processing charge backs and vendor invoices, developing and negotiating customer… more
- Molina Healthcare (Columbus, GA)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more