- Elevance Health (Atlanta, GA)
- …and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes ... work an 8 hour shift Mon-Fri 8:30am-5:00pm PST Elevance Health is a health company dedicated to...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Elevance Health (Atlanta, GA)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... Insurance annual statement exhibits. + Leverage and expand your...provide an equivalent background. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Highmark Health (Atlanta, GA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of… more
- Catholic Health Initiatives (Ringgold, GA)
- …days off), Professional Dues, and Certification Reimbursement + Malpractice and Tail Insurance (Modified Claims Made) + Full Benefits Eligibility with ... **Responsibilities** CHI Memorial Medical Group is offering an outstanding GI opportunity...services in a unique practice model. As an integrated health system, candidates will enjoy a highly collaborative environment… more
- Elevance Health (Atlanta, GA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Atlanta, GA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Atlanta, GA)
- …background. **Preferred Skills, Capabilities, and Experiences:** + Healthcare experience preferred; medical claims experience a plus. + Extensive hands-on ... experience. + Cloud experience (AWS , GCP). Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement… more
- Elevance Health (Columbus, GA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Perform duties telephonically or on-site ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Atlanta, GA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site ... are not limited to: + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Atlanta, GA)
- …the market + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... organizations preferred. + BA/BS degree in Actuarial Sciences or Health Economics preferred. + Minimum of 5 years in...+ Minimum of 5 years in healthcare industry in medical economics, provider finance, healthcare analytics, or actuarial services… more