- Humana (Atlanta, GA)
- …put health first** Humana Healthy Horizons in Oklahoma is seeking a Claims Research & Resolution Lead to lead a team that focuses on supporting ... process and ensures providers are reimbursed timely and accurately. The Claims Research & Resolution Lead will serve as a subject matter expert for the… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... ensuring the highest quality on every project/request. Responsible for error resolution , follow up and performance metrics monitoring. + Provides peer review… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s)...billing and are skilled at problem solving and account resolution . They work well within a team and help… more
- Elevance Health (Atlanta, GA)
- …to identify and correct contractual issues, if applicable. + Handles complex case research and resolution . + May perform collection activities to ensure the ... III will be responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to… more
- CBRE (Atlanta, GA)
- …mitigation strategies. + Support senior Legal colleagues and department leadership with research and other projects related to CBRE's Advisory business. + Partner ... strategy, potential business disruptions, managing conflicts of interest and dispute resolution . + Collaborate with senior Legal colleagues and other internal… more
- Owens & Minor (Alpharetta, GA)
- …can drive growth and protect base business. + Develop and maintain product performance claims . + Conduct VOC and market research to identify needs, determine ... strategic goals for the Skin Health, Specialty and Surgical Solutions division. + Lead cross-functional teams in the development and execution of strategic and new… more