• Appeals Specialist

    TEKsystems (Atlanta, GA)
    Overview We are seeking a highly analytical and proactive Revenue Cycle Appeals Specialist to join our team. This role is ideal for someone with strong ... experience in appeals , denials, and insurance follow-up within the healthcare revenue...cause analysis to determine next steps. 2. Rebilling & Appeals Submission + Focus on claims ready for appeal-already… more
    TEKsystems (09/04/25)
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  • Appeals & Grievance Specialist…

    Cognizant (Atlanta, GA)
    ** Appeals & Grievance Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Job Summary:** We are seeking a ... dedicated Appeals & Grievance Specialist with 2 to 3 years of experience to join our team. The ideal candidate will have strong technical skills in MS Excel and… more
    Cognizant (09/09/25)
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  • Associate Specialist , Appeals…

    Molina Healthcare (Atlanta, GA)
    …for letters and prepare responses to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial ... systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. +… more
    Molina Healthcare (08/30/25)
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  • Specialist , Appeals & Grievances…

    Molina Healthcare (Atlanta, GA)
    …hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** Responsible for reviewing and resolving member and provider ... + Responsible for the comprehensive research and resolution of the appeals , dispute, grievances, and/or complaints from Molina members, providers and related… more
    Molina Healthcare (08/21/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Atlanta, GA)
    **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals… more
    Molina Healthcare (08/15/25)
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  • Central Office Specialist - TLB

    State of Georgia (Fulton County, GA)
    …Georgia Department of Labor is accepting applications to fill the Central Office Specialist position in the UI Appeals Department located at Georgia Department ... Central Office Specialist - TLB Georgia - Fulton - Atlanta...availability. ESSENTIAL FUNCTION & RESPONSIBILITIES Receives, investigates and processes appeals submitted via mail, fax, email and online accordingly… more
    State of Georgia (09/11/25)
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  • Development Specialist

    Nobis Works (Atlanta, GA)
    Job Descriptions: Position Summary: The Development Specialist is an integral part of the Development team's innovation and execution by serving an active support ... Plan that incorporates a range of strategies, including annual appeals , grants, corporate and major donor appeals ,...accepting vehicle donations both online and in person. The specialist will resolve or help to resolve any vehicle… more
    Nobis Works (08/28/25)
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  • Sr Specialist , Member Engagement (Remote)

    Molina Healthcare (Atlanta, GA)
    …Member issues in areas involving member impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the ... analyses of advocacy issues; and assists with documentation preparation for appeals , fair hearings or other formal/informal dispute resolution process. * Provides… more
    Molina Healthcare (08/08/25)
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  • Pharmacy Technician I - Medication Access…

    Elevance Health (Atlanta, GA)
    …Extraordinary Impact.** **Title** : Pharmacy Technician I - Medication Access Specialist **Location(s):** Mason, OH, Indianapolis, IN, Seattle, WA, Atlanta, GA, ... granted as required by law.** As a **Pharmacy Technician I - Medication Access Specialist ** , you will be responsible for the interpretation and data entry of basic… more
    Elevance Health (09/10/25)
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  • Senior Claims Specialist - Management…

    Axis (Alpharetta, GA)
    …request for candidates taking part in the selection process. **Senior Claims Specialist - Management Liability (Hybrid)** **About AXIS** This is your opportunity to ... and environmental causes **Job Description** AXIS is seeking a **_Senior Claims Specialist - Management Liability_** to join our North America Claims team. The… more
    Axis (08/30/25)
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