- NDCP (Duluth, GA)
- …exposure. The ideal candidate has experience adjusting workers' compensation lost time and medical only claims in an insurance company, third party administrator ... accurate. + Communicate, as needed, with injured employees, third-party claims representatives, medical clinics, etc. to ensure... clinics, etc. to ensure the timely delivery of medical treatment and the processing of claim… more
- Norstella (Atlanta, GA)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role,… more
- CVS Health (Atlanta, GA)
- … or claims that exceed specialist adjudication authority or processing expertise. + Applies medical necessity guidelines, determines coverage, completes ... Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will… more
- Fresenius Medical Center (Kennesaw, GA)
- …AND RESPONSIBILITIES: + Under general supervision, identify and resolve routine outstanding claims . + Generate and analyze diverse reports and work lists in the ... from past due accounts. + Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data. + Perform all responsibilities… 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 to the...provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care, managed… more
- Lowe's (Suwanee, GA)
- …Delivery processes to solve inquiries/issues and maintain customer satisfaction. Processing orders and fulfilling customer needs to ensure customer satisfaction. ... and sick time, as well as access to top-tier medical , dental and vision insurance. For information about our...with the third-party logistics partner to address and resolve claims (customer and cargo), updates Lowe's claims … more
- CVS Health (Atlanta, GA)
- … or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Walmart (Covington, GA)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
- Molina Healthcare (Columbus, GA)
- …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more