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Claims Support Specialist Jobs in Atlanta, Georgia

120 jobs

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About the Company Lincoln Financial Group is a Fortune 500 company offering a diverse range of financial services and solutions. With a strong focus on four core business areas - life insurance, annuities, retirement plan services, and group protection - our business is built around supporting, preserving, and enhancing our customer's lifestyles and providing better retirement outcomes. Led by ov...

Job Description Job 15-17379 Location US-GA-Sandy Springs Facility JCS Sandy Springs Type regular full-time Shift Day More information about this job Overview Our IT Support and Application Specialist provides end users training and technical support for JCS software applications, including but not limited to Case Management and Probation Tracker. Also assists in the implementation, ma...

Provider Relations Field Services In House Support Representatives The provider relations field services in-house support representatives are responsible for assisting Field Service Representatives (FSR’s) and the provider relations field services department with assistance with claims research, evaluation tracking and development, workshop development, and distribution of training materials. Su...

Description Provider Relations Field Services In House Support Representatives The provider relations field services in-house support representatives are responsible for assisting Field Service Representatives (FSR’s) and the provider relations field services department with assistance with claims research, evaluation tracking and development, workshop development, and distribution of training m...

Essential Duties and responsibilities - Verify “retroactive eligibility” in GAMMIS web portal, request coding conversions and medical records,prepare clinical information and assessment plan. Submit retro-authorization requests for inpatient/outpatient services to Georgia Medicaid via web-portal, notate client system and internal systems. - Check Medicaid web-portal for authorization numbers, ap...

Job Summary: Denial and Appeals Specialist for Managed Care Payors The Denial and Appeals Specialist functions as a hospital liaison with external third-party payors to appeal denied claims and retrospectively pre-certify contracted/non contracted insurance accounts. Audits and coordinates completion of patient records required to retrospectively pre-certify accounts and appeal insurance denials...

Description National EDI (NEDI) Transmission Services has responsibility for setting up data file transmission protocols between Kaiser and our external business clients. In addition, we also set up transmission protocols for a large number of Kaiser’s internal data transfers between application system platforms. This requires close coordination with our internal business clients to understand th...

National EDI (NEDI) Transmission Services has responsibility for setting up data file transmission protocols between Kaiser and our external business clients. In addition, we also set up transmission protocols for a large number of Kaiser’s internal data transfers between application system platforms. This requires close coordination with our internal business clients to understand their data tran...

Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Associate Director of Network Programs is responsible for the successful program design,...

Client Services Specialist, Client Manager, Human Capital Practice, Employee Benefits Division General Responsibilities • Support Account Executive, Client Advocate, and development of client relationship • Support client needs and goals with expanding business opportunities to solidify client relationship • Daily support for customers including employee benefits brokerage, consulting, and gen...

Member Operations Specialist( Job Number: 1510642) Cox Automotive Description The Member Operations Concierge – Reporting to the Market Manager, the Member Operations Concierge will be responsible for member support functions, including: recruiting and retaining members; communicating with members on vehicle maintenance scheduling, vehicle delivery, vehicle swaps and vehicle turn ins; work to...

Description This position will be located in Alpharetta, Georgia. Toyota (NYSE:TM), the world's top automaker, is committed to building vehicles for the way people live through our Toyota, Lexus and Scion brands. Over the past 50 years, we’ve built more than 25 million cars and trucks in North America, where we operate 14 manufacturing plants and directly employ more than 40,000 people. Our 1,80...

JOB SUMMARY: Vacancy ID: 1485734 OUR MISSION: To fulfill President Lincolns promise To care for him who shall have borne the battle, and for his widow, and his orphan by serving and honoring the men and women who are Americas Veterans. How would you like to become a part of a team providing compassionate care to Veterans? If you are transitioning from the military or a Veteran already, we invite...

JOB SUMMARY: Vacancy ID: 1470438 OUR MISSION: To fulfill President Lincolns promise To care for him who shall have borne the battle, and for his widow, and his orphan by serving and honoring the men and women who are Americas Veterans. How would you like to become a part of a team providing compassionate care to Veterans? If you are transitioning from the military or a Veteran already, we invite...

JOB SUMMARY: Vacancy ID: 1471134 OUR MISSION: To fulfill President Lincolns promise To care for him who shall have borne the battle, and for his widow, and his orphan by serving and honoring the men and women who are Americas Veterans. How would you like to become a part of a team providing compassionate care to Veterans? If you are transitioning from the military or a Veteran already, we invite...

JOB SUMMARY: What exciting career opportunities await you at CDC? The Centers for Disease Control and Prevention (CDC) is the agency Americans trust with their lives. As a global leader in public health, CDC is the nations premier health promotion, prevention, and preparedness agency. Whether we are protecting the American people from public health threats, researching emerging diseases, or mobil...

JOB SUMMARY: What exciting career opportunities await you at CDC? The Centers for Disease Control and Prevention (CDC) is the agency Americans trust with their lives. As a global leader in public health, CDC is the nations premier health promotion, prevention, and preparedness agency. Whether we are protecting the American people from public health threats, researching emerging diseases, or mobil...

JOB SUMMARY: A career with the Forest Service will challenge you to manage and care for more than 193 million acres of our nation's most magnificent lands, conduct research through a network of forest and range experiment stations and the Forest Products Laboratory, and provide assistance to State and private forestry agencies. It's an awesome responsibility - but the rewards are as limitless as ...

JOB SUMMARY: The mission of the Food and Nutrition Service (FNS) is to increase food security and reduce hunger in partnership with cooperating organizations by providing children and low-income people with access to food, a healthy diet, and nutrition education in a manner that supports American agriculture and inspires public confidence. FNS provides excellent opportunities for specialized train...