- National General Insurance (Atlanta, GA)
- National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We ... accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities * Applies advanced… more
- MultiPlan (Atlanta, GA)
- …Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders ... diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards… more
- MultiPlan (Atlanta, GA)
- …professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - ... diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards… more
- MultiPlan (Atlanta, GA)
- …financial integrity, and generate measurable results. This role pursues collections on errant healthcare claims made to various healthcare provider entities. ... and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness...improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy… more
- CenterWell (Atlanta, GA)
- … time position scheduled 20 hrs per week. As a ** Part Time ** **Accounts Receivable Specialist/RCM Healthcare Claims Denials Specialist** , you will: ... **Become a part of our caring community and help us...or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare … more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process ... pharmacy claims for payment. The Senior Pharmacy Claims Professional work assignments involve moderately complex to complex issues where the analysis of… more
- Humana (Atlanta, GA)
- …Qualifications** + 2 or more years of medical claims knowledge and/or claims processing experience within the healthcare industry. + 2 or more years ... caring community and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2...+ MUST be able to work in Eastern Standard Time Zone + Position is Remote As part… more
- Sedgwick (Atlanta, GA)
- …at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Advisor, Professional Liability To analyze complex or technically difficult … more
- Sutherland Global Services (Atlanta, GA)
- …answering questions and resolving problems? Do you have any experience in the healthcare /medical field or are you interested in pursuing a career in the field? ... an "All Hands on Deck" approach **Duties & Responsibilities;** + Assist providers with claims and claims investigations + Status Inquiries + Denial Rationale +… more
- Prime Healthcare (Riverdale, GA)
- …and community! Southern Regional Medical Center, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be ... part of a community dedicated to making a difference....in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety… more
- Guidehouse (Atlanta, GA)
- …as to integrate guidance and engagement recommendations. Managing Consultants take part in sales initiatives and Practice Development. Our Managing Consultants have ... clients. Projects will include actuarial modeling tasks such as developing healthcare projections, analyzing risk adjustment impacts, and designing and evaluating… more
- PruittHealth (Norcross, GA)
- …* Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections * Familiarity with Insurance Claims management functions ... all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for… more
- State of Georgia (Fulton County, GA)
- …services as a supporting expert on fiscal impact of Medicaid and Healthcare policy, ensuring fiscal activities related to the implementation, fulfillment and ... job-related experience in accounting, billing and collection systems, or claims , which includes two (2) years in a lead...GA Department of Behavioral Health and Developmental Disabilities is part of a statewide initiative called Total Rewards that… more
- Elevance Health (Atlanta, GA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review....range of possible compensation for this role at the time of this posting. This range may be modified… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- …**Your future duties and responsibilities:** * Conduct comprehensive reviews of healthcare claims , payments, and billing processes to identify inaccuracies, ... for claims payment accuracy. Collaborating with various stakeholders, including healthcare providers, payers, and internal teams, you will develop and implement… more
- Elevance Health (Atlanta, GA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** Healthcare is rapidly changing, and our members are living longer, often with more chronic ... potential opportunities to drive improvement in population health and reduction of healthcare cost using high volumes of structured and unstructured data. The Senior… more
- Elevance Health (Atlanta, GA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes...range of possible compensation for this role at the time of this posting. This range may be modified… more
- J&J Family of Companies (Atlanta, GA)
- …advanced statistical techniques and machine learning algorithms to analyze large-scale healthcare datasets, including HER/EMR and claims data. * **Predictive ... years, diversity, equity & inclusion (DEI) has been a part of our cultural fabric at Johnson & Johnson...plus + Real world data experience preferred (EMR/EHR, medical claims , pharmaceutical, etc.); experience with international healthcare … more
- Norstella (Atlanta, GA)
- …sciences analytical use cases by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), ... States Date Posted: Sep 9, 2024 Employment Type: Full Time Job ID: R-406 **Description** **About Citeline** Citeline is...and Responsibilities** + Query and analyze large volumes of healthcare data from diverse sources, including claims ,… more
