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Healthcare Claims Negotiator Jobs in Decatur, Georgia

Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Decatur, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Cumming, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Duluth, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Acworth, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Smyrna, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Avondale Estates, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Stone Mountain, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Alpharetta, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Suwanee, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Roswell, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Norcross, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Clarkston, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Healthcare Claims Denials And Appeals Specialist
By CenterWell Senior Primary Care At Marietta, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Documentation Negotiator Jobs
By BMO U.S. At Minnesota, United States
Executes data entry/processing/tracking to support document management activities.
Supports change management work to ensure the achievement of anticipated benefits.
Time management skills – In-depth.
Coordinates the management of documents’ database; ensures alignment and integration of documents in adherence with BMO’s standards.
Provides input into the planning and implementation of document management programs.
Participates in the design, development, implementation, and management of core processes.
Healthcare Claims Specialist - Remote | Wfh
By Get It Recruit - Healthcare At Little Rock, AR, United States

We are a dynamic organization seeking a skilled and dedicated Medical Claims Specialist to join our team for a remote contract position. With a strong possibility of extension, we offer a rewarding ...

Document Negotiator Jobs
By Natixis North America LLC At , $150,000 - $210,000 a year
Coordinate with Front Office, Client Management/Onboarding, Compliance and the Credit Department in the negotiation of market documentation;
4+ years of experience at a large financial institution as a document negotiator
Specific knowledge of interest rate, commodity, credit and/or equity derivatives and confirmations related thereto would be helpful
Experience with negotiating with fund counterparties is a plus
Experience with negotiation of non-disclosure agreements (NDAs) would be helpful
Skillful written communication is necessary
Healthcare Claims Rep ( Tuition/Fsa ) - Remote | Wfh
By Get It Recruit - Healthcare At Kensington, NH, United States

Evaluate, assess, and process claims for individuals enrolled in employer-sponsored benefit plans, focusing on flexible spending accounts and tuition reimbursement plans. Provide friendly and ...

Medical Cost Negotiator & Claims Specialist
By Health Advocate At , Remote $20 - $24 an hour
Reports Settlement results within the system and Statistics to Management
Send and Acknowledge receipt of Contracts from Consumers/Members and Providers
Provide benefit and claims consultation and support when appropriate to all internal departments.
Claims or Call center experience preferred
Bachelor's Degree or applicable work experience
Ability to interpret Explanation of Benefits (EOBs).
Healthcare Data Analyst - Claims Authorizations
By Providence Health Plan At ,
2+ years' experience with data visualization in Tableau or PowerBI
2+ years' experience with SQL
We welcome 100% remote work for residents of the States of Oregon and Washington.
Required qualifications for this position include:
Preferred qualifications for this position include:
Check out our benefits page for more information about our Benefits and Rewards.
Claims Healthcare Business Analyst
By Gainwell Technologies At Indianapolis, IN, United States
Five or more years of healthcare claims experience.
Advanced knowledge in Microsoft Excel and other software for conducting quantitative analysis
Strong analytical and business process re-engineering skills
Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel
Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections.
An influencer and team player who that motivates others to action and communicates key technical ideas in a digestible way
Healthcare Data Analyst - Claims Authorizations
By Providence Health Plan At , Vancouver, 98661, Wa
2+ years' experience with data visualization in Tableau or PowerBI
2+ years' experience with SQL
We welcome 100% remote work for residents of the States of Oregon and Washington.
Required qualifications for this position include:
Preferred qualifications for this position include:
Check out our benefits page for more information about our Benefits and Rewards.
Negotiator Jobs
By Pacific Debt Relief At Phoenix, AZ, United States
Experience in sales, customer service and/or financial services are all highly desirable
Two or four year college degree preferred; however, those with college coursework or relevant experience will be considered.
Providing the highest level of customer service
Determine accounts eligible for settlement based on relevant factors regarding clients account
Negotiating favorable settlements directly with creditors on behalf of our clients
Coordinating with clients the terms of debt resolutions
Healthcare Claims Support Associate
By CareCentrix At , Remote
Knowledge of basic spreadsheet / word processing / data entry and basic math skills required.
Knowledge of Claims Management and URAC standards preferred.
Tracks claim detail errors and communicates to up-line management for coaching and training purposes.
Must have minimum 1 year work experience.
Two years of customer service, claims processing, medical terminology, medical services or equivalent experience required.
Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
Healthcare Claims Support Associate
By CareCentrix At United States
Knowledge of basic spreadsheet / word processing / data entry and basic math skills required.
Knowledge of Claims Management and URAC standards preferred.
Tracks claim detail errors and communicates to up-line management for coaching and training purposes.
Must have minimum 1 year work experience.
Two years of customer service, claims processing, medical terminology, medical services or equivalent experience required.
Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
Land Negotiator Jobs
By bp At Denver, CO, United States
BBA or BS in Petroleum Land Management/Energy Management, business, or related field
Exceptional communication skills. Communicates with clarity and integrity and understands the need for constant and consistent dialog.
Good interpersonal, communication (oral and written) and teamworking skills.
Minimum of 6 years of in-house subsurface land negotiations experience.
Experience with complex Eagle Ford leases and agreements preferred.
The Land Negotiator develops relationships within the oil and gas industry to facilitate partnering and trade opportunities.
Negotiator Support Representative Jobs
By First Choice Credit Management, LLC At West Palm Beach, FL, United States
Run reports, Data Entry, Faxing, Filing and other administrative duties as needed
Develop and maintain a knowledge base of the evolving services
1+ years of customer service experience, preferably in an office or call center environment
Excellent communication skills (both written and verbal). Bilingual is a plus!
Strong follow-up and organizational skills
Contacting creditors and collection agencies to obtain or verify account details
Healthcare Claims Data Analyst ( W-2 Only )
By Apex Systems At United States
In Depth Experience & Understanding of Coverage & Reimbursement, Member Enrollment, Provider Contracts, Benefits and Authorization and Claims Workflow
"A la Carte" Style Benefits
3+ Years of Experience in Data Analysis, Claims Configurations within QNXT or Similar Software/Application
$50.00 - $55.00 / Hourly Rate
Estimated 6 Month Contract Period
Paid Time Off / Sick Leave / Etc.
Claims Specialist - Healthcare
By Talently Recruiting At Illinois, United States
Prepare reports for management by collecting, analyzing, and summarizing claim information.
Maintain proper file documentation of assigned files by complying with company and state requirements.
2+ years of experience in the legal or medical field.
Experience with Professional Liability preferred.
Responsibilities include, but are not limited to:
Actively engage in review processes to evaluate liability, assess case value, and oversee reserving functions and total claims costs.
Data Center Strategic Negotiator
By Google At New York, NY, United States
7 years of experience in energy project development, utility procurement, or finance/consulting roles with similar responsibilities.
Knowledge of energy transaction structuring, power markets, utility rates, renewable energy technologies, and/or infrastructure project management.
Bachelor's degree in Business, Economics, Finance, Engineering, or equivalent practical experience.
7 years of experience in the electric power industry, structuring and negotiating agreements.
7 years of experience with quantitative analysis, including financial modeling.
Master’s degree in Business, Economics, Finance, Engineering, or a related field.
Negotiator Jobs
By Robert Half At Atlanta Metropolitan Area, United States
Support analytical needs during the sourcing strategy, suppliers’ relationship management, management of complaints, and demand processes management
Support monitoring and management of the suppliers’ performance in his/her regional division
Training: Engineering, management or related
Negotiate the categories under his/her responsibility in order to get the greatest value for the company.
Obtain and analyze current and historical information on the sourcing process based on specific categories to identify potential opportunities
Carry out analysis to determine compliance with suppliers, contracts, and/or purchase channels based on the reports time lines and scope
Healthcare Claims Processor Jobs
By Reqroute, Inc At United States
• COB and benefit summary knowledge
• Pay or deny claims according to the benefit summary
• Priority will be given to those with knowledge of the QNXT systems and application
• Knowledge of Medicaid, Medicare or commercial claims processing
• Experience with claims or customer service in medical field
• Review membership eligibility for determination
Data Analyst (Healthcare Claims)
By TEKFORTUNE INC At Minneapolis, MN, United States
Maintain all managed file transfer processes to standard levels and continuous improvement efficiencies.
Identifies applicable security/data standards when reviewing requirements and recommends controls to ensure compliance
Respond to and resolve data transfer and integration incidents
Analyze issues to detect recurring problems.
Partner with internal teams to resolve issues
Document issue resolution and any mitigation plans/efforts for preventing the issue from reoccurring in the future