- Deloitte (Atlanta, GA)
- …you'll do/Responsibilities + Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic ... applications are well supported and implementations are properly executed + Follow defined standards, promote best practice principles, and participate in change… more
- Cognizant (Atlanta, GA)
- …stakeholders and other teams. **In this role, you will:** . Perform comprehensive follow -up on hospital claims to resolve outstanding accounts receivable. . ... following benefits for this position, subject to applicable eligibility requirements: . Medical /Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off .… more
- PruittHealth (Norcross, GA)
- …preferred. **MINIMUM EXPERIENCE REQUIRED:** * Demonstrates experience and a proven track record in Insurance Claims in a medical setting of moderate size and ... and ensuring that correct diagnosis, and procedure codes are utilized. 4. Submits Insurance claims , including the maintenance of bill holds and the correction… more
- Sedgwick (Atlanta, GA)
- …status. + Provides clear and appropriate follow -up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and… 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, HCPCS… more
- Ryder System (Atlanta, GA)
- …injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow -up, timely resolution, and adherence to service ... Rico; advanced level. Demonstrated ability to handle large exposure and complex insurance and contractual coverage exposure claims ; advanced level. experience in… more
- Elevance Health (Atlanta, GA)
- …teams responsible for building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management, ... **Staff VP Engineering** - Medical Cost Management & Cost of Care **Location:**...for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable… more
- Mass Markets (Savannah, GA)
- POSITION OVERVIEW LICENSED PROPERTY & CASUALTY INSURANCE AGENT We are hiring licensed insurance agents who are positive, persuasive, and have the drive to ... + Accurately document and process customer orders in appropriate systems + Follow all required scripts, policies, and procedures + Leverages strong written… more
- UNUM (Atlanta, GA)
- …Physical Medicine and Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across ... Unum US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant… more
- GE Aerospace (Atlanta, GA)
- …+ Minimum three years (3) of experience in reinsurance, auditing and/or adjudicating insurance claims . + Ability to query and analyze data to identify ... and limitations + Strong preference for long term care insurance claim experience + Working knowledge of medical...related to long term care, disability, life and/or health insurance claims + Note: Position can be… more