- Peachtree Orthopedics (Atlanta, GA)
- …patients. Essential Duties and Responsibilities + Responsible for a variety of medical office /clerical tasks relating to claims processing; contact patients ... edits and other billing messages to resolve any claims denials to ensure prompt resolution . +...education degree (GED) required. + Minimum 5 years of medical billing and account follow up experience preferred. +… more
- Molina Healthcare (Augusta, GA)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… 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
- Dentsply Sirona (Braselton, GA)
- …Administration, Business, or a related field. + Additional certifications in medical billing, insurance claims processing, or healthcare administration are ... : 81461 Wellspect Healthcare is a leading global provider of innovative medical devices that help people suffering from urinary retention or chronic constipation.… more
- Molina Healthcare (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 (Atlanta, 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
- Cognizant (Atlanta, GA)
- …to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution . You will be a valued ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more
- Travelers Insurance Company (Alpharetta, GA)
- …Partners with claim professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, ... statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and...legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- Highmark Health (Atlanta, GA)
- …relationships hold the key to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as a vast, dynamic network of ... work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means… more
- Trinity Health (Lavonia, GA)
- …& ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to ... analyzes information. Identifies opportunities, develops solutions, & leads through resolution . Collaborates on performance improvement activities as indicated by… more