- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Payment Integrity Professional 2 contributes to overall cost reduction by ... guidelines and data anomalies to ensure correct claim payment . The Payment Integrity Professional 2 work assignments require in depth research, cross… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Encounter Data Management Professional 1 develops business processes to ensure successful submission and reconciliation ... improvements of encounter submission processes. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions… more
- State of Georgia (Fulton County, GA)
- …this position ensures the accuracy, compliance, and timeliness of all payment -related activities. The Team Lead supports staff in collecting, verifying, processing, ... Manager in coordinating daily workloads and priorities for the Retirement Benefits Payment team + Provides technical assistance and process guidance to team members… more
- Graphic Packaging International, LLC (Atlanta, GA)
- …/ completeness of the accounts receivable ledger with a focus on payment discrepancy prevention and resolution across an assigned portfolio. He/she will deliver ... continuous improvement. Responsibilities focus on management / monitoring of payment differences focused on root cause evaluation, identification and resolution… more
- Elevance Health (Columbus, GA)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... and ensures essential face-to-face onboarding and skill development. Carelon Payment Integrity is a proud member of...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Mass Markets (GA)
- …for reconciliations across seven different agencies. + Reconciling daily and monthly payment trackers to ensure all payments are accurately posted. + Identifying and ... resolving payment discrepancies during daily reconciliations. + Processing daily ... returns and keying payments efficiently. + Ensuring the integrity and accuracy of financial data CANDIDATE QUALIFICATIONS WONDER… more
- Elevance Health (Atlanta, GA)
- …considered for employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of ... companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Cardinal Health (Atlanta, GA)
- …skills; able to multitask effectively** **Customer service orientation with a professional demeanor** **High level of accountability, integrity , and ... balances** **Identify account problems, patterns, and trends** **Assist with additional payment -related functions as necessary** **Assist and respond to reports in a… more
- Banner Health (GA)
- …for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-10 assignments on health records. Provides ... Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized operational systems. Provides explanatory and… more
- Elevance Health (Atlanta, GA)
- …will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance Health family of ... companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more