- CVS Health (Atlanta, GA)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… 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 to management. + Identifies and reports on systemic issues… more
- Humana (Atlanta, GA)
- …Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This ... action plans, as needed. You will participate in all phases of the audit process including evaluating control design and adequacy, testing to ensure adherence with… more
- Robert Half Accountemps (Dalton, GA)
- …expertise while supporting a dynamic workforce. Responsibilities: . Review, analyze and audit electronic timesheets in Workforce time and attendance system to ensure ... Supports manual and electronic mass filing of 5000+ unemployment partial claims yearly for Georgia facilities, including troubleshooting issues and communicating… more
- PruittHealth (Albany, 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
- Walgreens (Savannah, GA)
- …issues and prevent payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit . + Follows-up with ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- Walgreens (Douglasville, GA)
- …issues and prevent payment rejections. Follows- up with insurance companies as well as medical providers and participates in 3rd party audit . + Follows-up with ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- Mass Markets (Garden City, GA)
- …center locations. We offer competitive compensation, performance-based bonuses, comprehensive medical , dental, and vision benefits, paid vacation and holidays, and ... such as Quality Assurance, Training, IT, and Recruiting + Design and audit quality assurance strategies to ensure top-tier service delivery + Manage hiring,… more
- Mass Markets (Savannah, GA)
- …+ Critical thinking, problem solving, research skills and determination Preferred + Audit experience a plus (IRS and state tax authorities) + Bachelor's Degree ... sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of employment, and all… more
- Mass Markets (Savannah, GA)
- …departments such as QA, Training, IT, and Recruiting. + Implement and audit quality assurance strategies to maintain service excellence. + Manage hiring, onboarding, ... sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of employment, and all… more