- Humana (Atlanta, GA)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages...(Spanish / English) (see Language Proficiency Testing below)** + ** 1 or more years of Call Center or Telephonic… more
- Molina Healthcare (Atlanta, GA)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...call center member relations. Required Qualifications * At least 1 year related experience, including call center or customer… more
- Ryder System (Atlanta, GA)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- CVS Health (Atlanta, GA)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic claim ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Fresenius Medical Center (Kennesaw, GA)
- …to patient health information for utilization in data retrieval, analysis and claims processing . The Coder provides administrative support in the interpretation ... Experience Preferred** **PURPOSE AND SCOPE:** The Coder performs data entry processing within the assigned function(s). The incumbent is responsible for applying… more
- Fresenius Medical Center (Kennesaw, GA)
- …location _within the United States_ PURPOSE AND SCOPE: The Insurance Representative provides general administrative support in the insurance collections process ... within the assigned function(s). + Review, investigate and resolve outstanding claims in coordination with cross-divisional teams and/or vendors to obtain the… more
- Emory Healthcare/Emory University (Duluth, GA)
- …service. + Review and monitor patients ? accounts to improve revenue and timely processing of claims . + Responsible for financially clearing patients prior to, ... you want to be. We provide: + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits +… more