Diedre Moire Corp.Insurance Claims Environmental Diedre Moire Corp.Insurance Claims EnvironmentalDouglasville, GA$110,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
American International GroupClaims Analyst IV - General Liability American International GroupClaims Analyst IV - General LiabilityAtlanta, GA$76,000–$93,000 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.
American International GroupClaims TPA Governance Analyst American International GroupClaims TPA Governance AnalystAtlanta, GAReporting directly to the Claims TPA Regulatory Manager, the role will support the oversight of all North American state and province regulatory matters relating to third-party administrators handling claims on behalf of AIG. The Claims TPA Governance Analyst shall be responsible for the following activities: Monitor changes in state, federal, and market conduct regulatory requirements impacting claims handling and TPA activities.
Accenture PlcEpic Resolute Hospital Billing and Claims Senior Analyst Accenture PlcEpic Resolute Hospital Billing and Claims Senior AnalystAtlanta, GAThe Advanced Technology Centers (ATCs) make tremendous impact in solving our clients business problems leveraging Innovation, Intelligence, Industry insights, new IT and new technology skills. For our clients, the Network provides the strength of our geographic diversity, greater resilience, and seamless access to the deepest industry knowledge, the latest in Gen AI solutions, and tech expertise from around the world.
American International GroupClaims Law Firm Junior Analyst American International GroupClaims Law Firm Junior AnalystAtlanta, GADocumentation and website updates, keeping business facing documents / webpages which reflect AIG’s commercial positions with Law Firms accurate and current; Assist Claims Law Firm Managers in handling law firm inquiries and provide support to internal Claims stakeholders as necessary, including performing searches/queries via AIG’s e-billing and law firm management platform and monitoring team’s inbox. Reporting directly to the NAM Head of Law Firm Management, the role will be responsible for supporting the contracting of claims Law Firms, engaging in the collection of Law Firm due diligence, issuing contract documentation, supporting rate negotiations, and storing and uploading all commercial agreements.
Georgia Farm Bureau MICClaims - Subrogation Specialist Auto\Casualty Georgia Farm Bureau MICClaims - Subrogation Specialist Auto\CasualtyMACON, GAPart timeDetermine liability, identify subrogation rights, confirms damages, prepares for litigation, status reports, and negotiate subrogation settlements in the best advantage of the company, considering factors such as litigation cost, value of the insured's auto claim, continued recovery attempt expense, comparative negligence of the insured, statutory limits, and current Case Law. Update system information concerning subrogation claim status; Print or request printing of necessary data from claim system to meet external documentation requirements responsible for receiving, reviewing, and issuing demands on all automobile subrogation claims where recovery potential exists.
Georgia Farm Bureau MICCasualty Claims Representative IV Georgia Farm Bureau MICCasualty Claims Representative IVMACON, GAPart timeWhileperformingthedutiesofthisjob,theemployeeisrequiredtooperateinanormaloffice environment with occasional travel necessary to visit office locations, conduct investigations, attend conferences/training classes and. Investigate, evaluate and negotiate complex automobile claims including non-injury, serious injury claims, fatality losses, UMBI exposures, and out of state losses.
Georgia Farm Bureau MICClaims - Field Claims Representative Georgia Farm Bureau MICClaims - Field Claims RepresentativeSavannah, GAPart timeWhile performing the duties of this job, the employee is required to occasionally operate in a normal office environment with occasional travel necessary to visit office locations, conduct investigations, attends conferences/training classes and meetings. The representative must possess basic skills with personal computer; experience with Windows, word processing, and internet, Xactware products experience, and other documents as required.
Children's Healthcare of Atlanta IncSenior Applications Analyst - Hospital Billing/Claims Children's Healthcare of Atlanta IncSenior Applications Analyst - Hospital Billing/ClaimsBrookhaven, GAIf you provide content to customers through CloudFront you can find steps to troubleshoot and help prevent this error by reviewing the CloudFront documentation. Generated by cloudfront CloudFrontRequest ID 0bQdfBRlLU-o-OHQoC0c_NwkwOvimpHa5AcgeH-9ktSGNpsUgcQf1Q.
CSAA Insurance GroupNewCommercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteHome Teleworkers, GARemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Hughston ClinicAppeals Analyst - Full Time Hughston ClinicAppeals Analyst - Full TimeColumbus, GAUtilize coding certification knowledge and experience to monitor contractual allowances; analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance. Monitors and tracks contractual, billing, registration, and posting errors, and provides continuous feedback to the Director of Revenue Optimization Management.
Marsh & McLennan Companies IncNewOliver Wyman Actuarial - Class of 2027 Full-Time Consultant and Analyst Roles Marsh & McLennan Companies IncOliver Wyman Actuarial - Class of 2027 Full-Time Consultant and Analyst RolesAtlanta, GA$65,000–$110,000 / yearWe bring a combination of broad-based expertise with specialized knowledge of specific risks, allowing us to provide independent, objective advice in the three primary areas of risk: healthcare, life and annuity, and property and casualty. If interested in the ICG, feel free to check out our ICG job simulation here, Oliver Wyman Integrated Consulting Group - Forage, for an immersive experience designed to introduce you to the high-impact work of the strategy, risk, and transformation work we do.*.
Marpai Administrators LLCReporting Analyst, PBM Marpai Administrators LLCReporting Analyst, PBMAtlanta, GARemoteThis role will support MarpaiRx by translating pharmacy claims data into accurate, actionable reporting used for implementation, client readiness, clinical programs, performance guarantees, RFP support, and ongoing operational monitoring. Knowledge of PBM concepts such as claims adjudication, NDCs, drug spend, AWP, rebates, generic dispensing rate, specialty drugs, mail order, retail pharmacy, reject codes, and performance guarantees preferred.
Stride, Inc.Medicaid Analyst Stride, Inc.Medicaid AnalystAtlanta, GeorgiaPartnering across Special Programs, Accounting, and Government Affairs to establish best-in-class billing workflows, maximize allowable services under the Medicaid Program and ensure all payments are accurately forecasted, collected, and recorded. · Collaborate with Special Programs to identify billable student services and code encounters per state and federal program guidelines Prepare, submit, reconcile, and resubmit claims to state and federal agencies, ensuring timely payment.
Insight Performance IncData Analyst Insight Performance IncData AnalystAtlanta, GAEducation, Training and Experience: • Bachelor's Degree in Data Science, Math, Finance, or related field, required; • 2+ Years of Experience in Insurance/Employee Benefits or Finance/Accounting, preferred; • Experience in building & maintaining enterprise-level analytics solutions, preferred; • Experience with Microsoft Suite (Excel, Powerpoint, Word, Outlook, etc.), required; • Healthcare underwriting, actuarial and/or similar analytical background, preferred; • Expert in excel modeling, required; • General programming experience, required; • VBA experience, preferred; • SQL experience, preferred. OneDigital complies with all criminal history inquiry [or 'ban the box'] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington.
Integro Professional Services, LLCNewRisk Manager / Senior Risk Analyst Integro Professional Services, LLCRisk Manager / Senior Risk AnalystAtlanta, GAFull timeDealer General Warranty (DGW) is our specialized Third-Party Administration (TPA) business focused on delivering market-leading warranty products and services to the automotive industry. Skills: Advanced Excel, SQL, BI and general data analysis skills, with the ability to work cross-functionally with leaders across operations and business units.
Elevance Health IncFinancial Operations Analyst Lead - Payment Integrity Datamining Elevance Health IncFinancial Operations Analyst Lead - Payment Integrity DataminingAtlanta, GAMinimum Requirements: Requires a BA/BS in accounting or finance and a minimum of 5 years' experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Oscar HealthSenior Analyst, Provider Data Operations Oscar HealthSenior Analyst, Provider Data OperationsAtlanta, GARemote$61,851–$81,180 / yearMaintain existing and incoming provider demographic information to ensure accuracy and quality of the network by supporting run-state, repeatable issues of moderate complexity. This role involves regular communication with providers via email to confirm request completion, obtain additional information, and address follow-up inquiries.
Emory Healthcare/Emory UniversityNewCDCE Data Analyst Emory Healthcare/Emory UniversityCDCE Data AnalystAtlanta, GAEnvironmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste chemicals/gases/fumes/vapors, Communicable diseases, Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required.
The Dignify Solutions, LLCNewBusiness Analyst with Medicaid/ Medicare/ MMIS Expertise - 100% Remote The Dignify Solutions, LLCBusiness Analyst with Medicaid/ Medicare/ MMIS Expertise - 100% RemoteAtlanta, GARemoteShould work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos. 1. Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare.2.
International Motors, LLCTemporary Operations Support Analyst International Motors, LLCTemporary Operations Support AnalystFairburn, GeorgiaMaintain record integrity by performing inventory checks in the warehouse, to investigate and do root cause trend analysis on inventory discrepancies, making accurate inventory adjustments, processing inbound receipts, investigating receipt discrepancies, and performing various office related and reporting functions. The purpose of this position is to provide operations support for all duties as assigned to accurately and efficiently support our customers and daily operations in areas of customer service, accounting, transportation, records, claims and returns.
CodoxoSIU & Payment Integrity AI Analyst CodoxoSIU & Payment Integrity AI AnalystDuluth, GAHigh-value differentiators: DRG/APR-DRG auditing (MS-DRG/APR-DRG assignment validation, upcoding/DRG creep, LOS & medical necessity review); experience with medical necessity triggers, high-cost drug/services, pharmacy & DME integrity, behavioral health and Psychotherapy coding. Synthetic Healthcare Data CurationReviewing and curating synthetic datasets generated by AI and data engineering teams to ensure they accurately reflect real-world healthcare claims, medical records, and diagnostic imaging clinical scenarios.
At-Bay IncSenior Actuarial Analyst, Pricing At-Bay IncSenior Actuarial Analyst, PricingAtlanta, GA$120,000–$135,000 / yearYou'll be surrounded by a team that loves what they do, leverages technology to improve efficiency & minimize duplicative work, and recognizes the enormous responsibility that they have - to support key business decisions with data backed insights and a deep understanding of insurance risk. Why you should join our Actuarial Pricing team: As an Senior Actuarial Analyst on the Pricing team, you will be working under the risk function with talented team members in modeling, risk analytics, decision engine, insurance and tech product.
WaystarTechnical Support Analyst (HA) WaystarTechnical Support Analyst (HA)Atlanta, GAWaystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun.
United States Air ForceOPERATIONS RESEARCH ANALYST United States Air ForceOPERATIONS RESEARCH ANALYSTRobins AFB$7–$9 / hourMore information on PCS requirements may be found at httpsafciviliancareers.comregulatoryThis posn is subject to provisions of the DoD Priority Placement ProgramPosition may be subject to random drug testingEmployee may be required to work other than normal duty hours to include evenings weekends andor holidaysShift work and emergency overtime may be requiredEmployee must maintain current certificationsDisclosure of Political AppointmentsAdvance in hire may be authorized if there is demonstrable proof provided on your resumeStudent Loan Repayment may be authorizedRecruitment Incentive may be authorized for this positionRelocation Incentive may be authorized for this positionLeave accrual may be authorized upon requestFullpart-time employees occupying direct childcare positions are eligible for discounts IAW DAF AFSVCCC Memo 30 Sep 22 first child 100 each additional child 25. MENU Sign inNEWMy jobsProfileResumes & documentsSearch preferencesNotifications NEWSign outMy jobsProfileResumes & documentsNotifications NEWSearch preferencesSign outEventsHelp CenterSearch Keywords Location or Remote Search Search tips Back to resultsApplyOPERATIONS RESEARCH ANALYSTDepartment of the Air ForceAir Force Civilian Career TrainingAir Force Personnel Center Talent ReadinessApply Print Share Save Summary This job is open to Duties Requirements How you will be evaluated Required documents How to apply Summaryhe PALACE Acquire Program offers you a permanent position upon completion of your formal training plan.
The Dignify Solutions, LLCData Analyst (Power BI) with Reporting and P&C Exp.- Hybrid The Dignify Solutions, LLCData Analyst (Power BI) with Reporting and P&C Exp.- HybridAlpharetta, GAJob Locations:Alpharetta, GA; Charlotte, NC; Chicago, IL; Conshohocken, PA; Dallas, TX; Denver, CO; Fargo, ND; Garden City, NY; Houston, TX; Lenexa, KS; Lubbock, TX; Morristown, NJ; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, KS. 4+ years of experience in reporting or data analysis within the Property & Casualty insurance industry; reinsurance experience is preferred but not required.
Pacifica ContinentalAccounts Receivable Analyst Pacifica ContinentalAccounts Receivable AnalystAtlanta, GAFull timeThe key role of an employee who works as Accounts Receivable is to ensure their company receives payments for goods and services and records these transactions accordingly. • Client’s portals (EDI) Knowledge • Experience in PBI and Microsoft packet (Excel, word, ppt, Visio).
Augusta UniversityDCG Billing Compliance Analyst Augusta UniversityDCG Billing Compliance AnalystAugusta, GAOR Associates degree from an accredited college or university in healthcare or business-related field with four years of clinical or administrative experience in dental or medical healthcare environment as a certified coder with certification from the American Academy of Professional Coders (AAPC), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Dental Assisting National Board (DANB) or American Health Information Management Association (AHIMA). Bachelors degree from an accredited college or university in healthcare or business-related field with two years of clinical or administrative experience in dental or medical healthcare environment as a certified coder with certification from the American Academy of Professional Coders (AAPC), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Dental Assisting National Board (DANB) or American Health Information Management Association (AHIMA).
Siritech Solutions CorpReporting Data Analyst (Hybrid) Siritech Solutions CorpReporting Data Analyst (Hybrid)Alpharetta, GAContractorThis role requires acting as a Subject Matter Expert (SME) for enterprise insurance data, translating complex business processes into reporting structures, ensuring accurate data lineage, validating enterprise reporting outputs, and supporting analytics initiatives aligned with business objectives and regulatory requirements. The ideal candidate should possess deep expertise in enterprise data warehousing, reporting, Workers Compensation, insurance data interpretation, Guidewire systems, SQL, dimensional modeling, and reporting architecture.
Baker Tilly Advisory Group, LPTemporary Application Analyst Baker Tilly Advisory Group, LPTemporary Application AnalystAtlanta, GeorgiaBaker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston.
Turner Construction CoCost Analyst - Self Perform Operations Turner Construction CoCost Analyst - Self Perform OperationsAtlanta, GAPosition Description Prepare financial analyses reports and audit forecasts to confirm costs and effectively validate forecast financial outcome of assigned projects for Turner Constructions National Self Perform group. • Accumulate audit and correlate information from all sources to produce required cost reports such as Budget Analysis Reports (BARs) and special studies and Cost-audited BARs (CABs).
CRH AmericasAR Analyst CRH AmericasAR AnalystAtlanta, GAAward-winning brands include Belgard® hardscape, Echelon® Masonry, MoistureShield® composite decking, RDI® railing, Catalyst™ Fence Solutions, Sakrete® packaged concrete, Amerimix® mortar, Pebble Technology International® pool finishes, Lawn & Garden mulches and landscape features, and Techniseal® sands and sealant technologies. This position is responsible for the research, problem solving & timely filing of major retail Home Center AR customer accounts for the Lawn & Garden division of Oldcastle Architectural Products.
Trex BrandNewCustomer Sales Analyst - Home Depot (Atlanta, GA - Hybrid) Trex BrandCustomer Sales Analyst - Home Depot (Atlanta, GA - Hybrid)Atlanta, GA$70,000–$90,000 / yearAs a Trex Customer Sales Analyst Home Depot, you will be looked to as an innovator and expected to manage accounts receivable and accounts payable with Home Depot and distributors, manage team projects, cultivate relationships with Home Depot operations management and supply chain planning teams, and execute retail sales associate communications. We are looking for a Customer Sales Analyst Home Depot to work with Home Depot operations management team, District Manager, and above to improve Trex's in-store positions, maintain preferential placement of in-store collateral, and coordinate and lead group training sessions.
Allied UniversalSecurity Officer Armed Dispatch Console Analyst Allied UniversalSecurity Officer Armed Dispatch Console AnalystMarietta, GeorgiaJoin Allied Universal as an Armed Dispatch Officer at a dynamic aerospace and defense location, where you will monitor communications, coordinate responses to security-related activity, and support site personnel with professionalism and care. Coordinate incident response by prioritizing incoming requests, dispatching the appropriate personnel, and communicating updates to supervisors, first responders, and/or site contacts as needed.
American International GroupActuarial Analyst American International GroupActuarial AnalystAtlanta, GA$62,000–$78,000 / yearThe North America Rater Delivery Team works alongside international counterparts, Product Actuaries, Underwriters, and the other teams within Global Pricing (Modelling and Advanced Analytics, Pricing MI and Pricing Effectiveness) to provide a comprehensive approach to pricing and portfolio optimization. The North America Rater Delivery Team within Global Pricing – Actuarial develops commercial rating solutions for underwriting teams within AIG, while supporting strategic initiatives within the actuarial team.
Rose InternationalSenior Business Analyst Insurance Billing & Commissions ORMB Jobs in USA, Remote | Rose International Job Rose InternationalSenior Business Analyst Insurance Billing & Commissions ORMB Jobs in USA, Remote | Rose International JobAtlanta, GARemote$45–$51 / hourTemporaryOnly qualified Senior Business Analyst candidates with the ability to work REMOTELY from within the US to be considered for this role.***Required Education: Bachelor’s degree in a technical or related field (or equivalent practical experience)Required Skills, Experience, & Abilities: 5+ years of progressive experience delivering insurance or healthcare payer billing solutions, with strong emphasis on: Employee Benefits group billing, Premium based billing, Invoicing, adjustments, payments, and financial controls Hands on functional experience with Oracle Revenue Management and Billing (ORMB) across the full delivery lifecycle Deep expertise in insurance billing and revenue processes, including complex lifecycle and retroactive scenarios Strong ability to translate business needs into solution designs, functional specifications, and executable ORMB configurations Working knowledge of Oracle product data models and strong SQL skills for analysis and troubleshooting Proven experience leading workshops, stakeholder discussions, and complex decision making forums Experience working in Agile / Scrum / SAFe environments; comfort operating in hybrid models when needed Experience supporting production operations, including incident and problem management (e.g., ServiceNow)Preferred Skills, Experience & Abilities: Exposure to AI Frameworks for requirement analysis and story creation is preferredRole:We are seeking a Senior Business Analyst with deep functional expertise in insurance billing and commissions to lead the functional design and delivery of enterprise billing capabilities using Oracle Revenue Management and Billing (ORMB). target state, recommend solution alternatives, and drive design decisions with stakeholdersAgile Delivery & Stakeholder Partnership Partner closely with Business SMEs and Agile Product Owners (APO) too Elicit and document clear, testable requirementso Decompose Features into well defined User Stories with acceptance criteriao Lead and participate in product demos and design walkthroughs Actively contribute to backlog refinement, story definition, and solution alignment across Agile teams Provide hands on functional demos for business users and APOs as needed.
Starr International Co IncSenior Regulatory Reporting Analyst Starr International Co IncSenior Regulatory Reporting AnalystAtlanta, GASkills/Experience Required: • Bachelor's Degree in related discipline • Experience with various state insurance regulatory reporting requirements • Very strong data analysis skills • Advanced Excel skills • Strong documentation skills • Commercial Insurance reporting Experience preferred • Intellectual curiosity and a desire to seek new challenges • Must be able to handle multiple tasks and shifting priorities. Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world.
Sharecare IncSr. Data Analyst- Remote Sharecare IncSr. Data Analyst- RemoteAtlanta, GARemoteAnalysis is based in membership eligibility, and includes researching issues as they arise, proactively striving to ensure data integrity and representing membership intake for internal and sometimes external customers. The ideal candidate is technically capable with extensive experience in SQL and Data Visualization tools and has experience solving complex business problems with data using tools such as Python to script out repeatable and parameterized tasks.
Northside Hospital Inc.Revenue Integrity Analyst Northside Hospital Inc.Revenue Integrity AnalystAtlanta, GeorgiaCoordinates with Department Managers and/or Practice Managers on new procedures being performed to assure the charges are set up appropriately and timely and the staff responsible for entering charges is educated. Maintain a good working relationship with all clinical staff to ensure clear communication and a collaborative approach to implementing best practice processes.
Burgess Information Systems, Inc.NewReimbursement Analyst Burgess Information Systems, Inc.Reimbursement AnalystGainesville, GAPart timeBachelor’s degree in Finance, Economics or other business-related field, or 4+ years of financial or pricing analysis experience in PBM or Healthcare related field preferred. Analyze pharmacy claims data utilization to identify financial trends, opportunities, and potential risks, including changes to profit margins.
NCR VOYIXSenior Trade Compliance Analyst NCR VOYIXSenior Trade Compliance AnalystATLANTA, GACombining a flexible, intelligent platform with end-to-end payments capabilities and services developed through its deep industry experience, NCR Voyix empowers retailers and restaurants to accelerate new possibilities for their operations, experiences and business outcomes. Partnering closely with Legal, Procurement, Supply Chain, Logistics and Finance and external customs brokers, the role helps ensure NCR Voyix products are imported and exported efficiently while maintaining compliance with applicable customs and trade regulations.
Sanzie HealthCare Services IncHome Health Medical Office personnel -Experience using Availity RCM, MMIS, QuickBooks Sanzie HealthCare Services IncHome Health Medical Office personnel -Experience using Availity RCM, MMIS, QuickBooksFayetteville, GAKnowledge of CPT, HCPCS, and ICD-9 codes; familiarity with regional and national payers (including Medicaid, VA, Medicare HMO and Medi-Cal HMO plans). Review and approve timesheets and payroll information of assigned staff -Check each employee's Timesheets, member form, and Progress note to reflect Axiscare.
Jack Hughston Memorial HospitalVendor Coordinator Full Time Jack Hughston Memorial HospitalVendor Coordinator Full TimeColumbus, GAThis accuracy in posting is crucial for the efficient operation of the Business Office and plays a significant role in the financial stability of Jack Hughson Memorial Hospital and the Hughston Surgical Centers. The Vendor Coordinator is essential for the timely and accurate posting of insurance claims, denials, and patient payments to the correct patient accounts.
Velvet Ledger WorkforceHome Infusion Reimbursement Coordinator Velvet Ledger WorkforceHome Infusion Reimbursement CoordinatorPeachtree Corners, GARemoteSome examples: "Billing Coordinator, Home Infusion" OR "Payor Analyst, Home Infusion" OR "Reimbursement Coordinator, Home Infusion" OR "RCM Specialist, Home Infusion". In this role, you will be a key player in ensuring accurate and timely reimbursement for home infusion services navigating the complexities of billing, claims, and compliance.
Oscar HealthAssociate, Payment Integrity Oscar HealthAssociate, Payment IntegrityAtlanta, GARemote$82,717–$108,566 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. The Associate provides thought leadership for Payment Integrity process and workflows that impact claims payments and works closely with cross functional partners on execution of changes.
CRH Americas CorporateSenior Counsel - Contracts & Litigation CRH Americas CorporateSenior Counsel - Contracts & LitigationAtlanta, GAIn this hands-on role, you will report to an Associate General Counsel of CRH Americas, Inc. and work closely with the Company’s Environmental Health & Safety (“EHS”) managers. We manufacture and distribute a diverse range of superior building materials, products, and solutions, which are used extensively in construction projects of all sizes.
Emory HealthcareProvider Relations Data Anlyst Emory HealthcareProvider Relations Data AnlystAtlanta, Georgia
Fixed-Ops Talent SolutionsNewWarranty Administrator Fixed-Ops Talent SolutionsWarranty AdministratorAtlanta, Georgia$50,000–$85,000 / yearWhether you are a warranty administrator, warranty clerk, warranty specialist, warranty claims processor, service administrator, or dealership professional with strong manufacturer warranty experience, we’d like to connect with you. Fixed Ops Staffing partners with leading automotive dealerships throughout the Southeast to connect top fixed operations professionals with outstanding career opportunities.
MCI CareersNewExperienced Call Center Quality Assurance Supervisor MCI CareersExperienced Call Center Quality Assurance SupervisorGarden City, GeorgiaMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.