Claims Processing Jobs in Atlanta
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Search Results - Claims Processing Jobs in Atlanta
CovetusAtlanta
developer tools and debugging techniques
• Healthcare domain knowledge including claims processing, member (eligibility, enrollment, benefits), authorization workflows, and appeals and grievances
• Strong communication and collaboration skills
• Detail...
ARSA - Advanced Reconstructive Surgery AllianceAtlanta
Collaborate with various teams within ARSA to ensure timely and successful dispute resolution
Qualifications and Experience
• 1–3 years in healthcare claims processing preferred
• Experience with No Surprises Act dispute resolution highly preferred...
VericenceAtlanta
understanding of Medical Coding (ICD-10, CPT, HCPCS).
• Experience in Claims Processing, Claims Adjudication, Denial Management, and AR Follow-up.
• Knowledge of US Healthcare System, Insurance Providers, Medicare, Medicaid, and Commercial Payers...
Resource 1, Inc.Atlanta
Plusses:
• Experience with PySpark for larger or more complex data processing tasks.
• Previous healthcare PBM, TPA, or claims processing experience.
• Experience working with agentic AI or code-generation tools to accelerate data engineering tasks....
Yudrio, Inc.Atlanta
Sector or government project experience is a strong plus.
• Federal government experience is a plus.
• Experience with government case-management or claims-processing systems.
• Experience working in highly regulated environments.
• SharePoint...
RapidClaimsAtlanta
Manager- Job Overview
As a Revenue Cycle Manager, you will be responsible for overseeing and optimizing the end-to-end revenue cycle operations for US healthcare clients. You will ensure efficient billing, coding alignment, claims processing, denial...
RapidClaimsAtlanta
and enhance operational efficiency across the revenue cycle.
Key Responsibilities
• Analyze end-to-end revenue cycle workflows, including charge capture, coding alignment, billing, claims processing, AR follow-ups, and denial management.
• Gather, document...
VytlOneAtlanta
is preferred.
• Working knowledge of 340B Drug Pricing Program requirements, pharmacy claims processing, patient eligibility, duplicate discount prevention, diversion prevention, and audit documentation.
• Ability to review and interpret prescription claims...
FractalAtlanta
Engineering, and Engineering teams to build predictive models, generative AI solutions, and intelligent automation that improve efficiency across claims processing, denials and appeals, clinical documentation, coding, customer service, and related workflows...
Addison GroupAtlanta
internal and client systems
• Monitor filing deadlines to ensure timely claim processing and payment recovery
• Identify denial patterns and communicate trends or improvement opportunities to leadership
• Escalate complex accounts as needed to ensure timely...
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