- Peachtree Orthopedics (Atlanta, GA)
- …for a variety of medical office /clerical tasks relating to claims processing ; contact patients and responsible parties to resolve past-due accounts; ... with minimal or no assistance necessary. + Independently assess claims edits and other billing messages to resolve any...education degree (GED) required. + Minimum 5 years of medical billing and account follow up experience preferred. +… 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
- Sedgwick (Atlanta, GA)
- …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for Global ... Medical Affairs across all therapeutic areas and brands. This...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Molina Healthcare (Augusta, 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
- Molina Healthcare (Macon, GA)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... as the professional scope of a Payment Integrity Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate… more
- Molina Healthcare (Atlanta, GA)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including… more
- Elevance Health (Atlanta, GA)
- …+ Requires a HS diploma or equivalent and minimum of 4 years claims processing and/or customer service experience; or any combination of education ... + AA/AS or higher level degree preferred. + Leadership experience in a claims processing environment preferred Please be advised that Elevance Health only… more