- CVS Health (Atlanta, GA)
- …+ Collecting, organizes, and analyzes large volumes of data related to insurance policies, claims , demographics, and other relevant factors. + Develops ... work experience and participate in: + Evaluating the potential risks associated with insurance policies and develop models to estimate the likelihood and severity of… more
- Allied Universal (Savannah, GA)
- …we serve. We offer comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance , a retirement plan, ... + Medical , dental, vision, basic life, AD&D, and disability insurance + Enrollment in our company's 401(k)plan, subject to eligibility requirements +… more
- Elevance Health (Columbus, GA)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible for… more
- Elevance Health (Atlanta, GA)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes.… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease ... labeling and translation of clinical data into commercial messaging + Partner with medical teams to align on an asset-level plan driving an aligned launch approach… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product ... Collaboration:** Work closely with, market access, Finance, Commercial operations, and medical teams to ensure seamless execution of brand strategies + **Market… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... with other local Neuroscience Specialists and cross functional colleagues in Medical Affairs (MSLs) and Market Access (RAMs) under appropriate guardrails. You… more
- RELX INC (Atlanta, GA)
- …including counseling employees on leave applications and ensuring timely adjudication of claims by the Third Party Administrator (TPA) + Entering leave data into ... policy and overseeing state-specific leave requirements + Administering Workers Compensation claims across all US divisions and ensuring timely submission of First… more
- Aveanna Healthcare (Atlanta, GA)
- …Collector to ensure claims are refiled and/or billed to the second insurance in a timely manner. Understands payer specific requirements for submitting claims ... FriendBack Job Details Requisition #: 207353 Location: Atlanta, GA 30339 Category: Medical Billing/Collections Salary: $19.00 - $22.00 per hour Position Details Join… more
- Robert Half Legal (Atlanta, GA)
- …liability, and premises liability. * Work closely with a team to defend claims against motor carriers, medical transportation companies, and other industry ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
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