- Allied Universal (Augusta, GA)
- …we serve. We offer comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, a retirement plan, employee ... company discounts, perks, and more. Allied Universal(R) is hiring a Branch Support Specialist . The Branch Support Specialist is responsible for being the primary… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- …DUTIES: Remain HIPAA and OSHA compliant. Translate patient information and alphanumeric medical code entries. Electronic "clean" claims submissions to Insurance ... are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this...on accepted or denied claims . Review denied claims for denial reasons and provide resolution .… more
- Centene Corporation (Atlanta, GA)
- … medical provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care, managed care, Medicare or ... for multiple state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set up. + Provide support to… more
- Elevance Health (Atlanta, GA)
- …defining our innovative role in the industry. **Pharmacy Quality Assurance Specialist ** **Location:** This role requires associates to be in-office **1** day ... law._ **Schedule: Monday - Friday; 8:00am-5:00pm** The **Pharmacy Quality Assurance Specialist ** is responsible for evaluating the quality of services and… more
- Molina Healthcare (Columbus, GA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... areas of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate… more
- Molina Healthcare (GA)
- …for reviewing and resolving member & provider complaints and communicating resolution to members (or authorized) representatives in accordance with the standards ... to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research. +… more
- Highmark Health (Atlanta, GA)
- …cases of the change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies that information ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more