SVP Bill Review- Careworks
Sedgwick - Atlanta, GA
…Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements. +
Created: 2024-07-01
Clinical Pharmacist Reviewer- REMOTE
Prime Therapeutics - Atlanta, GA
…Description** + Pharmacy Data Review: Regularly reviews and monitors prescription claims data and prescribing practices identified as outliers by internal and/or
Created: 2024-06-28
Risk Adjustment Analyst - Senior/Staff
Intermountain Health - Atlanta, GA
…initiatives. The Risk Adjustment Analyst gathers, standardizes, and consolidates financial claims , membership and premium data into data sets that are used
Created: 2024-06-27
Telephonic Case Manager
Sedgwick - Atlanta, GA
…support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues
Created: 2024-06-26
Process Tuner (Power & Water)
Emerson - Atlanta, GA
…and effectively. + Analyze, investigate, and resolve customer warranty and policy claims . This requires an in-depth knowledge of the obligations and restrictions set
Created: 2024-06-26
Revenue Cycle Analyst
TEKsystems - Atlanta, GA
…and modifiers, and provider information as needed. Prepares and submits clean claims to various insurance companies either electronically or by paper. Researches and
Created: 2024-06-26
Patient Account Associate I Government
Intermountain Health - Atlanta, GA
…need to know how to: Review insurance aging reports- Resubmit and work corrected claims and appeals- Review and manage aging claims and accounts receivable, as
Created: 2024-06-25
Senior Certified Pharmacy Technician
Walgreens - Atlanta, GA
…pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient
Created: 2024-06-25
Actuary, Medicaid (Remote)
Humana - Atlanta, GA
…experience compared to rate development funding and budget to generate insights into claims trends and funding issues + Development of revenue and claim budget
Created: 2024-06-24
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Medicaid Financial Data Analyst
Mathematica - Atlanta, GA
…include: * Assisting with quantitative analyses using Medicaid enrollment, claims /encounter, financial and program data to support program monitoring, improvement,
Created: 2024-06-22
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