- CenterWell (Atlanta, GA)
- …a part of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you ... + High School Diploma or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare collection procedures and… more
- Robert Half Accountemps (Atlanta, GA)
- … Claims Specialist to join as a contractor on a healthcare partner's project. This project-based Medical Claims Specialistwill be responsible for managing ... strong claims background, apply for this Medical Claims Specialist role today! Responsibilities: + Reviewing...+ 2+ years of experience in medical billing and claims + 1+ years of experience in denials… more
- Carrington (Atlanta, GA)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... informed of all trends and problems including, but not limited to, claim denials /curtailments and claim payment offsets. + Moderate working knowledge of all Default… more
- Molina Healthcare (Columbus, GA)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Molina Healthcare (Augusta, GA)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... cases to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine Provider No Surprises… more
- Peachtree Orthopedics (Atlanta, GA)
- …+ Independently assess claims edits and other billing messages to resolve any claims denials to ensure prompt resolution. + Responsible for all facets of ... we're on a mission to make a difference in healthcare , and we're looking for dedicated individuals to join...a variety of medical office /clerical tasks relating to claims processing; contact patients and responsible parties to resolve… more
- Molina Healthcare (Atlanta, GA)
- …reported accurately to maintain compliance and to minimize risk and denials . **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… more
- Banner Health (GA)
- …Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings for use as ... Inpatient Facility Coding department. If you have experience with DRG and PCS coding/ denials /audits, we want to hear from you. **Requirements:** + **5 years recent… more
- BrightSpring Health Services (Valdosta, GA)
- …accounts list, code and comment prior to monthly Critical Account call.* Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging ... Complete revenue balancing and reporting.* Maintain open communication with Billing Specialist , Cash Application Analyst and Operations.* Send cash transfer & check… more
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