- Elevance Health (Atlanta, GA)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance policies, health… more
- Cognizant (Atlanta, GA)
- …following benefits for this position, subject to applicable eligibility requirements: Medical /Dental/Vision/Life Insurance Paid holidays plus Paid Time Off ... support development, deployment, and maintenance processes. . Implement best practices in coding , testing, and CI/CD to enhance software quality and reliability. .… more
- Truist (Atlanta, GA)
- …determined by the division of Truist offering the position. Truist offers medical , dental, vision, life insurance , disability, accidental death and ... risk. Lead and perform development efforts such as analysis, design, coding /creating, and testing. **Essential Duties and Responsibilities** Following is a summary… more
- Truist (Atlanta, GA)
- …determined by the division of Truist offering the position. Truist offers medical , dental, vision, life insurance , disability, accidental death and ... risk. Lead and perform development efforts such as analysis, design, coding /creating, and testing. **Essential Duties and Responsibilities** Following is a summary… more
- Elevance Health (Atlanta, GA)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Investigator Senior is responsible for the independent ... will make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and...investigations and initiatives that may impact more than one company health plan, line of business and/or state. +… more
- CenterWell (Marietta, GA)
- …treats center patients in accordance with standards of care. . Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- CenterWell (Decatur, GA)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined byClinical… more
- Highmark Health (Atlanta, GA)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti-fraud program which includes ... reports according to state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business + Coordinates data extracts… more
- Walmart (Lagrange, GA)
- …allowance. - Career advancement opportunities. - Free college degree program. - Medical , dental, vision, pharmacy, and additional life insurance benefit options. ... , vision and dental coverage. Financial benefits include 401(k), stock purchase and company -paid life insurance . Paid time off benefits include PTO (including… more
- Sedgwick (Atlanta, GA)
- …experience required. **Skills & Knowledge** + In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** **:** To… more