- CVS Health (Atlanta, GA)
- …**Preferred Qualifications** + Experience working in a call center environment + Medical terminology/ insurance experience + Results oriented and self-motivated + ... routine nature. + Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc + Maintain department… more
- Evolent (Atlanta, GA)
- …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** ... coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …physical exams and advanced screening tests based on each individual's medical history, risk factors, and personal preferences-all within a seamless, concierge-style ... mailing and telephone calls. + Reviews, confirms, and documents payments and insurance benefits related to services. + Creates, estimates, and collects patient out… more
- Walgreens (Monroe, GA)
- …and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and… more
- Axis (Alpharetta, GA)
- …to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk ... E&S, Inland Marine, Global Property, Delegated Property and Construction across the insurance division. Their focus is on applying common analytical standards across… more
- Humana (Atlanta, GA)
- …processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… 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...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Robert Half Legal (Marietta, GA)
- …to support legal operations and project management initiatives. * Resolve disputes involving insurance defense and personal injury claims . * Advise on the legal ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
- American Leak Detection, Inc (GA)
- …the job location, locating leaks for service lines, slabs, basements, mystery leaks and insurance claims . Benefits for the Leak Detection Technician: * 401k * ... 2x a year based on performance * Job Type: Full-time/Year Round Position includes: * Medical , Dental, Benefits * Paid Vacation * Paid Sick time * Paid Holidays We… more
- Humana (Atlanta, GA)
- …either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more