- Humana (Atlanta, GA)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
- CRC Insurance Services, Inc. (GA)
- …by the division of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance , disability, accidental death and dismemberment, ... system and follow-up for receipt of policies, endorsements, inspections, correspondence, claims , etc. from outside sources. 4. Maintain account files in accordance… more
- Evolent (Atlanta, GA)
- …compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...in the Performance Suite where Evolent does not pay claims + Establish ideal data transfer protocols during client… more
- Medtronic (Atlanta, GA)
- …compensation are available to those regular employees who work 20+ hours per week: Health , Dental and vision insurance , Health Savings Account, Healthcare ... Manager** to manage the healthcare professional (HCP) Market Development team within Pelvic Health . We are looking for a player coach that is passionate about… more
- Elevance Health (Columbus, GA)
- …Capabilities and Experiences** + Medical terminology training and experience in medical or insurance field preferred. For candidates working in person or ... make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for… more
- Highmark Health (Atlanta, GA)
- …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + ... prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. +...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and Non Compete Agreements, Patient Care Related Issues, Risk Management, Litigation, and Insurance . + Familiarity with health care IT issues, including ... to the excellence of our academic community. **Description** The Chief Counsel for Health Affairs (CCHA) will oversee all legal matters for Emory Healthcare. They… more
- Elevance Health (Atlanta, GA)
- …be considered. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Assistant** is responsible for providing administrative support to the… more
- Elevance Health (Atlanta, GA)
- …and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes ... zone below:** 4:50am-8pm Pacific Time 6:50am-10pm Central Time 7:50am-11pm Eastern Time Elevance Health is a health company dedicated to improving lives and… 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