• Advanced Analytics Analyst Senior - Medical

    Elevance Health (Atlanta, GA)
    …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis,...not eligible for current or future visa sponsorship._ Carelon Health is a proud member of the Elevance … more
    Elevance Health (08/20/25)
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  • Clinical Content Strategy Manager

    Elevance Health (Atlanta, GA)
    …research and interpret CMS, CPT/AMA and other major payer policies based on medical coding and regulatory requirements. You will identify common error areas that can ... and finally data validation. Your goal is to develop claims editing logic and content that promote payment accuracy...demonstrate the content value. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
    Elevance Health (08/19/25)
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  • Representative II, Accounts Receivable

    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
    Cardinal Health (08/24/25)
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  • Product Liability Litigation Adjuster

    CVS Health (Atlanta, GA)
    …product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims . + Strong attention ... At CVS Health , we're building a world of health...at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation,… more
    CVS Health (08/03/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
    Elevance Health (08/13/25)
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  • Financial Operations Recovery Specialist Lead

    Elevance Health (Atlanta, GA)
    …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ... processing environment preferred Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
    Elevance Health (08/27/25)
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  • Health Information Consultant Senior

    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
    Elevance Health (08/21/25)
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  • Diagnosis Related Group Clinical Validation…

    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
    Elevance Health (08/13/25)
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  • Investigator Senior

    Elevance Health (Atlanta, GA)
    … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. + Develops ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Investigator Senior is responsible for the...research findings. + Health insurance more
    Elevance Health (08/28/25)
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  • Claim Adjuster - Liability

    Sedgwick (Atlanta, GA)
    …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other… more
    Sedgwick (08/27/25)
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