- Walmart (Douglas, GA)
- …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
- Aveanna Healthcare (Atlanta, GA)
- …any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts. Essential Job Functions ... correct and update EMR. Works with Biller to ensure claims are refiled and/or billed to the second insurance...Computer literate and ability to type, file and maintain audit records. Preferences List Other Skills/Abilities Must be able… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …with Sales and Marketing on sample allocation and planning. + Support audit readiness and compliance reviews. **Operational Efficiency & Field Partnership** + ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Molina Healthcare (Columbus, GA)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- Mass Markets (Savannah, GA)
- …work at one of our locations. We offer bonuses opportunities, comprehensive medical , dental and vision benefits, paid vacation and holidays, and contests incentives. ... are administered fairly and consistently throughout the area of responsibility + Perform audit and compliance functions as requested on items such as audit … more
- PruittHealth (Norcross, GA)
- …utilization meets needs for improved patient outcomes and appropriate claims reimbursement in accordance with regulatory billing guidelines. **KEY ... physician's plan of Care (POC) as it relates to the patient's medical conditions, including any co-morbidities and current guideline requirements and conventions. +… more
- Humana (Atlanta, GA)
- …operational goals, including regulatory compliance requirements + Promotes and builds an " Audit Ready Every Day" culture + Further simplifies and improves processes ... efficiencies + Collaborates with upstream business partners such as Claims , Clinical Guidance, and the Provider Network to identify...starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits +… more
- Elevance Health (Atlanta, GA)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... in a timely manner to ensure prompt resolution. + Tracks and trends audit results, providing feedback effectively and professionally to management. + Identifies and… more
- Transdev (Norcross, GA)
- …and 4 floating + Other standard benefits: 401(k) retirement plan, medical , dental and vision, life insurance, short-term disability, voluntary long-term disability ... accidents. + Collect data and analyze accident or incident rends. Investigate claims of damage or injury reported by passengers, pedestrians or other drivers.… more
- PruittHealth (Savannah, GA)
- …prior to hire and per renewal regulations. 30. Monitors workers compensation claims and coordinate work between employee and insurance carrier. 31. Operates copier, ... and payroll checks. 33. Processes, records and tracks Family Medical Leave on partners. 34. Records and tracks PTO...are paid in a timely manner. 39. Completes an audit of all bills dated for that month that… more
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