- Cardinal Health (Atlanta, GA)
- …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
- Highmark Health (Atlanta, GA)
- …Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) **TRAVEL REQUIREMENT** 0% - 25% ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… 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 :** HM Insurance Group **Job Description :** **JOB SUMMARY** This...structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The… more
- Cardinal Health (Atlanta, GA)
- …+ Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up & disposition. ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
- Elevance Health (Atlanta, GA)
- …and implementation for claims systems. Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... **Preferred Skills, Capabilities and Experience:** + 4 years of claims experience highly preferred. + Medical billing...+ CPC highly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Highmark Health (Atlanta, GA)
- …knowledge about the shifting healthcare environment including trends concerning health insurance , healthcare delivery, provider relationships and regulatory ... 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… more
- Elevance Health (Atlanta, GA)
- …analysis preferred. + Practical business experience preferred. + Experience in healthcare claims , health care benefits/total rewards and data analysis preferred. ... ** Health Information Consultant Senior** **Location:** This role requires...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Sedgwick (Atlanta, GA)
- …Good technical knowledge of claims management procedures + Knowledge of current medical practices in health care management in a variety of areas (including, ... work restrictions/accommodations. + Performs standard disability clinical reviews of referred medical claims based on client requirements to ensure accurate… more
- Intermountain Health (Atlanta, GA)
- …as needed. **Essential Functions** + Maintain basic understanding and knowledge of health insurance plans, policies and procedures. + Research and follow-up ... **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the... medical records to gather information and substantiate medical justification for procedures as required by insurance… more
- Elevance Health (Atlanta, GA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,...or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information… more