- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Payment Integrity Professional 2 contributes to overall cost reduction by ... guidelines and data anomalies to ensure correct claim payment . The Payment Integrity Professional 2 work assignments require in depth research, cross… more
- Elevance Health (Atlanta, GA)
- Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Carelon Payment Integrity , is ... unnecessary medical-expense spending. **Staff Vice President (VP) Product Management - Payment Integrity ** **Location** The ideal candidate will be within… more
- Humana (Atlanta, GA)
- …determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from ... us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and...home in the state of California will be provided payment for their internet expense. + A minimum standard… more
- American Express (Atlanta, GA)
- …the world's best customer experience every day. And we'll do it with the utmost integrity , and in an environment where everyone is seen, heard and feels like they ... we give you dedicated time to invest in your professional development. Find your place in technology on #TeamAmex....on #TeamAmex. As an Information Security Specialist in the Payment Cryptographic Architecture team you will be responsible for… more
- Elevance Health (Atlanta, GA)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position will work ... of one of our Elevance Health PulsePoint locations Carelon Payment Integrity is a proud member of...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Pearl Interactive Network (Atlanta, GA)
- …not cash, underpayment, overpayment, returning funds, revenue submission malfunction, payment integrity -related inquiry, other general inquiries. **Job ... to support your lifestyle professionally, physically, and financially through our professional development and coaching program. **Operating Hours:** 9 am - 9… more
- Graphic Packaging International, LLC (Atlanta, GA)
- …will focus on the evaluation / management of risk, monitoring customer payment performance and engagement with internal / customer contacts to proactively identify ... base assigned to determine reasons for non / slow payment + Profile customers to ensure our billing process...timely manner + Coordinate with Data Analysts to ensure integrity of Customer master data is maintained + Lead… more
- American Express (Atlanta, GA)
- …the world's best customer experience every day. And we'll do it with the utmost integrity , and in an environment where everyone is seen, heard and feels like they ... Team Amex and let's lead the way together. American Express is the leading payment card issuer for small businesses in the United States and supports business owners… more
- Molina Healthcare (Atlanta, GA)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
- Elevance Health (Atlanta, GA)
- …pharmacy, behavioral health, complex care delivery, medical benefits management, payment integrity , palliative care, advocacy, research, digital platforms, ... support to teams involved in Utilization Management, Specialty Benefits Management, Payment Integrity , Advocacy, Health Plan Subrogation, Behavioral Health,… more