- Sedgwick (Atlanta, GA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- State of Georgia (Fulton County, GA)
- …AND two (2) years of clinical experience AND one (1) year experience working with medical claims . Preference will be given to applicants who hold a Bachelor's of ... any blatant compliance issues. + Accurately documents findings from audit on standard forms. + Participates in interviews of...experience; additional years of experience in the analysis of medical claims and/or claims data;… more
- Highmark Health (Atlanta, GA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of Compliance and Compliance Operations, Compliance and Privacy Operations, Compliance and Audit Analysis, and Compliance Audit and Analysis. + Provides ... and updating privacy and compliance policies + Supports regulatory and internal audit requests and documentation + Assists with compliance review of Business… more
- Wolters Kluwer (Kennesaw, GA)
- …platforms. In addition, during heavy periods of incoming invoice volume, conduct the initial audit and/or quality assurance invoice review audit up to 15% of the ... prior supervisory experience, preferably in a legal billing or claims environment. + 5+ years' experience in the legal...and to exercise discretion and sound judgment when making audit and adjustment decisions. + Understanding of legal terminology… more
- Highmark Health (Atlanta, GA)
- …or Medical Review Committee. + Engages in delivery of audit results and overpayment negotiations.Responsible for recovery/ savings of misappropriated funds paid ... for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into… more
- BD (Becton, Dickinson and Company) (Covington, GA)
- …focus on the quality engineering processes specific to the distribution of medical devices and pharmaceuticals. **Job Description** We are **the makers of possible** ... BD is one of the largest global medical technology companies in the world. Advancing the world...ensure product integrity is safeguarded throughout the shipping process. Audit and Compliance Readiness + Prepare for, coordinate, and… more
- Elevance Health (Atlanta, GA)
- …claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Prepares correspondence to providers ... workplace. Alternate locations may be considered. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and… more
- Aveanna Healthcare (Atlanta, GA)
- …FriendBack Job Details Requisition #: 205249 Location: Atlanta, GA 30339 Category: Medical Billing/Collections Salary: $19.00 - $20.00 per hour Position Details Join ... any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts. Essential Job Functions… more
- Walmart (Monroe, GA)
- …evaluating air water and waste pollution Supports regulatory visits and prepares audit reports for management review Participates in evaluating pollution control and ... for accidents Reports safety violations and accidents Implements internal and external audit requirements within assigned area of work Creates action plans to… more
Recent Jobs
-
Dunkin Donuts Baker/Finisher - Overnight Shift
- Gpm Investments LLC (Bristol, TN)
-
CA - VP, Regional Insurance Consultant
- Covr Financial Technologies (San Francisco, CA)