- CDM Smith (Macon, GA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Carrington (Atlanta, GA)
- …Bankruptcy Ledger Experience Required to be Considered!** The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the ... high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of… more
- Western Digital (Atlanta, GA)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Cardinal Health (Atlanta, GA)
- …to meet and exceed revenue and profitability objectives. The _Sr. Specialist , Business Intelligence_ provides Product & Solutions Marketing support to internal ... are achieved. + Help design, develop, and implement member pharmacy profitability, payment , and adjustment trend analysis and reporting. + Monitor the accuracy and… more
- Cardinal Health (Atlanta, GA)
- …- 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
- Elevance Health (Atlanta, GA)
- …or quality assurance environment preferred. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement ... an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- Molina Healthcare (Atlanta, GA)
- …a medical review to facilitate a referral to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding ... medical records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines,...+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
- State of Georgia (Fulton County, GA)
- …access across both program areas. + Troubleshoot and resolve escalated GHVP claims -related issues, including payment denials, corrections, and recoupments. + ... Programs. The position is responsible for managing landlord onboarding, resolving escalated payment issues for GHVP, and maintaining reliable data within Yardi. This… more
- BrightSpring Health Services (Valdosta, GA)
- …report out. + Complete follow up process to ensure full adjudication of claims . + Identifies adjustments throughout the month for assigned Operations. + Timely ... claim denials, exceptions, or exclusions. + Maintain open communication with Billing Specialist , Cash Application Analyst and Operations. + Send cash transfer &… more
- PruittHealth (Norcross, GA)
- …role ensures accurate and timely claim submissions, insurance verification, and payment reconciliation. The supervisor oversees a team of billing professionals, ... all home infusion services. * Oversee the preparation and submission of insurance claims , verify patient benefits and payer contracts, and manage follow-up on denied… more