- Molina Healthcare (GA)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with… more
- Molina Healthcare (Columbus, GA)
- …projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity. + Strong working knowledge of managed care ... This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will… more
- PruittHealth (Norcross, GA)
- …services are timely, accurate, and allow for appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s) to ... 1. Performs all billing and follow-up functions, including the investigation of payment delays resulting from pended claims , with the objective of… more
- Molina Healthcare (Atlanta, GA)
- …and prepares written response to incoming provider reconsideration requests related to claims payment , requests for claim adjustments, and/or requests from ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine… more
- Travelers Insurance Company (Atlanta, GA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an… more
- Carrington (Atlanta, GA)
- …completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition ... Fee notices, Payment Change Notices and the Closing process for accuracy...the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and ... requests. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Acts as liaison for payment -related concerns between carriers and Property Repair Solutions internal … more
- Molina Healthcare (Atlanta, GA)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- Molina Healthcare (Savannah, GA)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- CVS Health (Atlanta, GA)
- …of a member's illness or injury - Identify claim cost management opportunities and refer claims for follow up - Make claim payment decisions - Process claims ... each and every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit...by providing accurate and timely resolution in processing medical claims . You will be a key link in providing… more