Vaco LLCNewBilingual Claims Customer Service Representative Vaco LLCBilingual Claims Customer Service RepresentativeBrookhaven, GA$45,000–$50,000Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Diedre Moire Corp.NewInsurance Claims Rep Medical Malpractice - South Fulton, GA Diedre Moire Corp.Insurance Claims Rep Medical Malpractice - South Fulton, GAAtlanta, GA$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. 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.
Company ConfidentialClaims Examiner Company ConfidentialClaims ExaminerChamblee, GAFull timeWhat You’ll Do:Review and adjudicate Medicare Supplement claims for accuracy, coverage eligibility, and medical necessityAnalyze CPT/billing codes, charges, fee schedules, medical records, and services renderedApprove, deny, or pend claims for additional documentationInvestigate fraud, waste, and abuse (FWA) concerns and support payment integrity effortsHandle denied claims, appeals, and reprocessingServe as a subject matter expert for claims/customer service teams on Medicare guidelines. What You Bring:2–4+ years of Medicare Supplement claims processing experienceStrong knowledge of CMS guidelines, claims adjudication, Medicare Benefit Policy Manual, and reimbursement practicesExperience reviewing medical records, coding, and claims discrepanciesHigh attention to detail, analytical thinking, and accuracy in a high-volume environmentCPC/CMRS certification a plus.
Company ConfidentialClaims Customer Service Representative Company ConfidentialClaims Customer Service RepresentativeBrookhaven, GAFull timeQualificationsHigh school diploma or equivalent requiredMinimum 3 years of customer service experience, preferably in the insurance or healthcare industryStrong knowledge of Medicare Supplement insurance and healthcare claim adjudication processes preferredExperience handling high-volume inbound calls with a focus on first-call resolutionExcellent verbal and written communication skills. Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs.
Diedre Moire Corp.Claims Adjuster MedMal Diedre Moire Corp.Claims Adjuster MedMalAthens, GA$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. 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 GroupSenior Workers' Compensation Claims Examiner - Federal Claims American International GroupSenior Workers' Compensation Claims Examiner - Federal ClaimsAtlanta, GA$73,000–$96,000 / 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. #insurancecareers #insurancejobs #claimsexaminer #WorkersCompClaims #WorkersCompensationClaims #paralegalcareers.
American International Group Inc (AIG)Senior Workers'''' Compensation Claims Examiner - Federal Claims American International Group Inc (AIG)Senior Workers'''' Compensation Claims Examiner - Federal ClaimsAtlanta, GAOur 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. Make your mark in Federal Workers Compensation Claims Focused on Workers Compensation within the Federal jurisdiction, this role is an ideal opportunity to develop your expertise in handling and investigating Defense Base Act claims.
Broadway VenturesRemote RN – Medical Claims Reviewer Broadway VenturesRemote RN – Medical Claims ReviewerAugusta, GARemoteAs an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.
Association County Commissioners of GAProperty & Liability Claims Examiner Association County Commissioners of GAProperty & Liability Claims ExaminerGASets initial reserves for claims; performs proper and timely reserve evaluations and adjustments; reviews and approves bills for processing; reviews and signs off daily check sheet; prepares and submits reports to excess carriers when loss is greater than one-half retention level. Utilizes cost control measures regarding claims management when applicable including Align, Cypress Care, Telephonic Case Manager (TCM), Field Case Manager (FCM) and Surveillance; works at eliminating the payment of fines and penalties due to late and/or form filings.
Association County Commissioners of GAWorkers Compensation Claims Examiner Association County Commissioners of GAWorkers Compensation Claims ExaminerGASets initial reserves for claims; performs proper and timely reserve evaluations and adjustments; reviews and approves bills for processing; reviews medical/rehabilitation notes; reviews and signs off daily check sheet; prepares and submits reports to excess carriers when loss is greater than one-half retention level. Performs skilled technical work managing and resolving assigned lost time and complex medical only claims on behalf of the Association's insurance programs to ensure prompt determination of compensability, payment of entitled benefits, litigation management and effective claim resolution, and related work as apparent or assigned.
American International GroupClaims Examiner - Federal Workers’ Compensation American International GroupClaims Examiner - Federal Workers’ CompensationAtlanta, GAOur 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.
Sunrise Systems IncClaims Examiner - Workers Compensation Sunrise Systems IncClaims Examiner - Workers CompensationAlpharetta, GAKeep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner. Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.
TestHiringClaims Processing Specialist TestHiringClaims Processing SpecialistAtlanta, GARemoteThis role plays a vital part in ensuring accurate and timely processing of dental insurance claims, helping our patients receive the benefits they deserve while supporting the smooth operation of our practice. As a Claims Processing Specialist, you will be at the forefront of managing insurance documentation, verifying coverage details, and collaborating closely with insurance providers.
CorVel Enterprise Claims, Inc.Indemnity Claims Specialist CorVel Enterprise Claims, Inc.Indemnity Claims SpecialistLawrenceville, GARemote$52,999–$85,473 / yearPart timeThe Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
American International GroupDirector of Field Claims - Federal Workers' Compensation American International GroupDirector of Field Claims - Federal Workers' CompensationAtlanta, GAEnsures appropriate claim file reserving, claim payments, legal/allocated expenses and recoveries are effectively applied and consistent with company guidelines via review and management of Open and Closed file reviews as well as other review processes. Our 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.
Berkshire Hathaway GUARD Insurance CompaniesComplex Claims Adjuster Commercial Liability Berkshire Hathaway GUARD Insurance CompaniesComplex Claims Adjuster Commercial LiabilityAlpharetta, GAOur companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! As a Liability Adjuster, you'll be at the forefront of managing intricate claims, collaborating with legal experts, and ensuring fair, timely resolutions that make a real impact.
Berkshire Hathaway GUARD Insurance CompaniesTrucking Claims Specialist Berkshire Hathaway GUARD Insurance CompaniesTrucking Claims SpecialistAlpharetta, GAWith supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers. Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway.
Oscar HealthDirector, Claims Operations, Process Improvement Oscar HealthDirector, Claims Operations, Process ImprovementAtlanta, GARemote$162,453–$213,220 / yearLead team to surface data, process, and technology issues through proactive identification, measurement, and monitoring of operations; partner cross functionally to develop end-to-end strategy that leverages these insights to scale. You will lead a team in identifying and implementing process improvement opportunities in claims operations setting while ensuring we remain compliant and meet our contractual goals.
RE GlobalNewReal Estate & Title Processor RE GlobalReal Estate & Title ProcessorTucker, Georgia$21–$24A federal mortgage compliance organization is seeking an experienced Federal Real Estate & Title Processor to support ownership and reconveyance functions under a federally regulated mortgage servicing contract. Ownership & Deed Review:Review recorded foreclosure deeds, trustee deeds, warranty deeds, quit claim deeds, and corrective instruments.
CorVel CorpIndemnity Claims Specialist CorVel CorpIndemnity Claims SpecialistLawrenceville, GARemote$52,999–$85,473 / yearESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Receives claims, confirms policy coverage and acknowledgment of the claim • Determines validity and compensability of the claim • Establishes reserves and authorizes payments within reserving authority limits • Manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision • Communicates claim status with the customer, claimant and client • Adheres to client and carrier guidelines and participates in claims review as needed • Assists other claims professionals with more complex or problematic claims as necessary • Additional duties as assigned. KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills • Ability to learn rapidly to develop knowledge and understanding of claims practice • Ability to identify, analyze and solve problems • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets • Strong interpersonal, time management and organizational skills • Ability to meet or exceed performance competencies • Ability to work both independently and within a team environment.
CorVel Enterprise Claims, Inc.Claims Supervisor - Strategic Rotation CorVel Enterprise Claims, Inc.Claims Supervisor - Strategic RotationLawrenceville, GA$71,696–$110,701 / yearPart timeThe Claims Supervisor-Strategic is responsible for supervising a direct reports team of Senior Claim Specialists - Strategic, or assisting with the supervision of field claims specialists (indirect) as the need arises. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Integro Professional Services, LLCVSC Level 3 Claims Adjuster Integro Professional Services, LLCVSC Level 3 Claims AdjusterAtlanta, GAFull timeYou will be responsible for accurately assessing and processing extended warranty claims, ensuring compliance with company policies and procedures, and providing exceptional customer service to all stakeholders involved. As an VSC Level 3 Claims Adjuster, you will play a vital role in our company's claims administration process, specifically related to automotive extended warranty claims.
AmTrust Financial Services, Inc.Lead Claim Examiner I AmTrust Financial Services, Inc.Lead Claim Examiner IAlpharetta, Georgia$77,500–$87,000 / yearOverview: The Lead Claim Examiner is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.
RLI Insurance CompanyNewClaim Examiner-Commercial Auto/Trucking Physical Damage (hybrid) RLI Insurance CompanyClaim Examiner-Commercial Auto/Trucking Physical Damage (hybrid)Atlanta, GA$68,556–$98,036 / yearThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.
RLI Insurance CompanyClaim Examiner IV-Personal Umbrella (Bodily Injury Liability/Auto/Premises) RLI Insurance CompanyClaim Examiner IV-Personal Umbrella (Bodily Injury Liability/Auto/Premises)Atlanta, GA$80,897–$115,682 / yearThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.
CrewBloomMedical Biller (US-based) CrewBloomMedical Biller (US-based)Atlanta, GAPatient Communication: Communicate with patients regarding billing inquiries, payment plans, and financial assistance options, providing excellent customer service while resolving concerns. Billing: Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies.
Avery PartnersMedical Billing Specialist Avery PartnersMedical Billing SpecialistMarietta, GeorgiaThis role is critical to maintaining a clean and efficient revenue cycle and requires hands-on experience across billing, accounts receivable, and client invoicing. This role includes responsibility for reviewing reimbursement accuracy and identifying underpayments, not just processing transactions.
Atlanta Rehabilitation & Performance CenterMedical Billing Specialist Atlanta Rehabilitation & Performance CenterMedical Billing SpecialistSnellville, Georgia
VitalsearchgroupMedical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelAtlanta, GeorgiaThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
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.
CarePerks LLCMedical billing specialist CarePerks LLCMedical billing specialistTucker, GAAs a Medical billing specialist at CarePerks LLC, you will play a crucial role in ensuring that our healthcare providers receive accurate and timely reimbursement for the services they provide. CarePerks LLC is a leading healthcare provider in Tucker, GA dedicated to providing compassionate care and exceptional service to our patients.
The Neuropsychiatric Clinic Of AtlaMedical Office Manager The Neuropsychiatric Clinic Of AtlaMedical Office ManagerLithia Springs, GAThis role ensures efficient administrative processes, regulatory compliance, high-quality patient service, and effective staff management. High school diploma or equivalent (associate or bachelor’s degree preferred in healthcare administration or related field) .
Four Winds HealthNewMedical Coder Four Winds HealthMedical CoderNewnan, GAPart timeExperience in using one or more Practice Management Systems/Billing Software Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment. In addition to the above requirements, WellStreet is looking for team members with the following qualities: • A positive attitude toward patients, families, and coworkers.
MCI CareersNewJunior Accountant MCI CareersJunior AccountantGeorgiaMCI 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.
Interim HealthCare IncBilling coordinator Interim HealthCare IncBilling coordinatorAugusta, GAResponsibilities • Submit and process medical claims to insurance providers in a timely manner • Verify patient insurance coverage, eligibility, and benefits • Review clinical documentation to ensure billing accuracy and compliance • Monitor claim status and follow up on unpaid or denied claims • Post insurance and patient payments, adjustments, and explanations of benefits • Communicate with insurance companies, patients, and internal staff regarding billing questions • Maintain strict patient confidentiality and comply with HIPAA guidelines • Assist with billing reports, audits, and account reconciliation as needed. Qualifications • Previous medical billing or healthcare revenue cycle experience preferred • Knowledge of Medicare, Medicaid, and commercial insurance billing preferred • Familiarity with CPT, ICD-10, and HCPCS coding is a plus • Strong attention to detail and organizational skills • Excellent communication and customer service skills • Proficiency with computer systems and electronic medical record (EMR) software • High school diploma or equivalent required.
Aspire Behavioral Health & DD ServicesBilling Clerk Aspire Behavioral Health & DD ServicesBilling ClerkAlbany, GeorgiaKnowledge of basic accounting, data entry, balancing accounts, ability to follow processing guidelines according to agency procedures, ability to use appropriate software (e.g., MS Office, EMR), ability to handle money and checks, skills in basic math, ability to address patients/customers in a courteous and professional manner, knowledge of billing policies and procedures. Communicates with insurance providers to reach resolutions for billing issues and reports to appropriate staff and CIMO of all issues that will cause a claim rejection, billing, coding and use of modifier issues and errors.
A Smile 4 UDental Billing Assistant A Smile 4 UDental Billing AssistantAlpharetta, GAUtilizing state-of-the-art equipment and advanced scheduling technology, we offer multiple specialties under one roof-including general dentistry, sedation dentistry, and oral surgery. Blue Monster Management / A Smile 4U is a privately owned dental group with locations in Decatur, East Point, Dalton, and Hiram.
MaKai Consulting, LLCInsurance Verification and Billing Specialist MaKai Consulting, LLCInsurance Verification and Billing SpecialistPooler, GAThis individual will play a critical role in ensuring accurate insurance coverage verification, timely claims processing, and efficient revenue cycle management. Position Overview We are seeking a highly organized and experienced Insurance Verification & Billing Specialist to support insurance verification and billing operations within our growing practice.
Crawford & CompanyTeam Manager - Water Mitigation Review Services Crawford & CompanyTeam Manager - Water Mitigation Review ServicesAtlanta, GAFull timeKeeps Assistant Vice President of Claims informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Vice President of Claims for direction. Counsels team members on educational and job opportunities which will enhance their career development; keeps staff informed of current trends, changes or new developments in the department and company with periodic meetings.
Dental Claim SupportOral Surgery Insurance Billing Specialist Dental Claim SupportOral Surgery Insurance Billing SpecialistSavannah, GAThe Oral Surgery Insurance Billing Specialist is the cornerstone in our insurance billing operations, orchestrating a harmonious interplay of technical expertise, collaboration with the Account Manager, client support, vendor management, problem-solving acumen, data integrity, and a commitment to continuous learning. Reporting to the Account Manager, the successful candidate will play a critical role in handling various technical aspects related to dental revenue cycle management services, with a focus on insurance billing.
Deloitte Touche Tohmatsu LtdNewBilling and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerAtlanta, GARemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
CarePerks LLCHEALTHCARE OFFICE MANAGER WITH BILLING EXPERIENCE CarePerks LLCHEALTHCARE OFFICE MANAGER WITH BILLING EXPERIENCETucker, GAAbout Us: CarePerks LLC is a leading healthcare provider in Tucker, GA, dedicated to delivering high-quality care to our patients. CarePerks LLC, located in Tucker, GA, is seeking a skilled Healthcare Office Manager with Billing Experience to join our team.
Tanner Health SystemNewPayment Specialist - TMG Billing (Days) Tanner Health SystemPayment Specialist - TMG Billing (Days)Carrollton, GAMust ensure payments, allowances, adjustments, write-offs and recoupments are posted correctly with a 95% rate of accuracy within 48 hour turnaround time via ERA and manual posting procedures. The payment posting team applies insurance payments to line item services for all TMG physician clinics.
Avery PartnersBilling Coordinator Avery PartnersBilling CoordinatorAlpharetta, Georgia$28–$30 / hourMedical Specialty practice is looking for an experienced Medical Billing Coordinator to support accurate billing, insurance verification, and patient financial care. Athena experience strongly preferred — strong EMR skills required.