- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
- Humana (Atlanta, GA)
- …first** Become a part of our caring community and help us put health first! The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
- Point32Health (GA)
- …responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for ... + Must be able to organize, plan and implement the functions of Member Appeals and Grievances , maintain timelines and turnaround times to meet multiple… more
- Department of Defense Education Activity (Peachtree City, GA)
- …Counsel, advice, and assist on actions concerning employee-management communications, grievances and appeals , disciplinary actions, and performance-based actions ... performance-based actions, performance management, awards, absence and leave, administrative grievances , and drug free workplace. Plan and implement employee… more
- Highmark Health (Atlanta, GA)
- …paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. ... + Other duties as assigned or requested. **QUALIFICATIONS:** **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification certificate +… more