- CenterWell (Atlanta, GA)
- …+ High School Diploma or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare collection procedures and ... help us put health first** As an **Accounts Receivable Specialist ** , you will: + Ensure the coordination of...timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily.… more
- Molina Healthcare (Atlanta, 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
- Intermountain Health (Atlanta, GA)
- …RN provides timely review of authorization requests and/or review of denials to ensure medical necessity, payer policies, appeals and reconsideration needs. ... documentation required and initiate prior authorization, pre-determination and/or dispute denials via retro authorization, appeals or reconsiderations related to no… more