- Humana (Atlanta, GA)
- …PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim 's environment + ... part of our caring community and help us put health first** The Senior Process Improvement Professional, DSNP Encounters...forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Cognizant (Atlanta, GA)
- …training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue monitoring, ... role will also involve monitoring the IBM i RxClaim health , Sterling Integrator file delivery, Robot batch jobs on...flexible shift environment (24 x 7) This is a remote opportunity within the US. Candidate must be currently… more
- BrightSpring Health Services (Valdosta, GA)
- …living, adult host homes for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, ... and ensures staff follows agency procedures to promote optimum health care and behavior supports + Monitors and ensures...service site injuries and assist with the management of claims + Monitors service site expenses relative to budgets… 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 ... any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts. Essential Job Functions… more
- Humana (Atlanta, GA)
- …deep dive research and analysis skills** **Prior experience in a fast-paced insurance or health care setting** **Demonstrated experience working with Medicare ... **Become a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... unmet medical needs and nutraceutical products for the maintenance of everyday health . In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... needs and nutraceutical products for the maintenance of everyday health . This position can be based in Princeton, New...expected 20% of the time based on business needs. Remote options may be considered within the US. As… more
- ReSource Pro (Atlanta, GA)
- …location in which the candidate resides. Your Benefits & Perks + 100% paid employee health insurance on Day 1 + Eligible for all medical, dental, and vision ... insurance IT ecosystems. + Deep understanding of property & casualty insurance lines and operations (policy, billing, claims ). + Demonstrated indepth… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the ... highest quality health care for Autism Spectrum Disorder (ASD) related services...needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care,… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more