Claims Benefit Specialist - Healthcare Adjudication
CVS Health
CVS Health is hiring for a full-time claims processor in the Atlanta area. You will review and adjudicate medical claims, applying clinical guidelines to determine coverage and verify eligibility while managing discrepancies and cost controls. Responsibilities include processing claims efficiently, handling rework items, and using multiple systems to ensure accuracy and timeliness. Strong customer service, teamwork and communication are essential for success. #J-18808-Ljbffr CVS Health
- ...CVS Health in Atlanta, GA is seeking a Claims Adjudication Specialist to review and process healthcare claims with accuracy and efficiency. Responsibilities include applying medical necessity guidelines, verifying eligibility, and resolving complex claim issues in a team...Suggested
$17 - $25.65 per hour
...family and one community at a time. Position Summary Reviews and adjudicates claims in accordance with claim processing guidelines. Applies... ...where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive...SuggestedHourly payFull timeLocal area- ...incumbent will review member accounts, process routine requests for benefits, and communicate with members and other authorized entities... .... SPECIALIZED DUTIES & RESPONSIBILITIES Benefit Claims • Deactivate deceased retiree accounts according to State law...Suggested
$19 per hour
...Job Title: Medical Records Specialist Location: Buckhead, GA (... ...medical records required for claims processing and compliance.... ...other sources to support claim adjudication and audits. Success in this... ...records from various healthcare providers and facilities....SuggestedWork at officeShift work$150k - $300k
...Changing Healthcare For GoodAt Angle Health, we believe the healthcare system should be accessible, transparent, and easy to navigate.... ...range for this job opportunity is $150,000 to $300,000 OTE + benefits, which is the amount Angle Health anticipates paying for this...SuggestedContract workTemporary workWork at officeRemote workWork from homeFlexible hours$54.6k - $136.3k
...provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.... ...offered, in addition to a range of health and welfare and/or other benefits. IQVIA is a leading global provider of clinical research...Full timePart timeImmediate startWorldwide- ...seeking a detail-oriented individual to manage the entry of medical claim forms and maintain adherence to privacy standards. The ideal... ...High School Diploma and have over 2 years of experience in the healthcare industry. Proficiency in MS Office and excellent communication...Remote work
$54.6k - $136.3k
...provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.... ...other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits. #J-18808-Ljbffr IQVIAFull timePart timeImmediate startWorldwide- A healthcare staffing agency is seeking a Medical Biller/Collector Specialist for a hybrid role based in Sandy Springs, GA. The ideal... ...Responsibilities include managing claim follow-ups, researching... ...The company offers excellent benefits such as 401k, health insurance...Permanent employment
- Medical Data Systems Inc. is seeking an Insurance Specialist to join our insurance support and billing team. You will perform insurance... ...attorney information as needed. The role requires 3-5 years in a healthcare setting, strong communication, attention to detail, and...
- Move Vertical in Atlanta, GA is seeking a Medical Claims & Billing Coordinator to support day-to-day insurance, billing, coding, and... ...on training, professional development, and opportunities for long-term growth in healthcare administration. #J-18808-Ljbffr Move Vertical
$68k - $80k
...therapy works. SonderMind provides accessible, personalized mental healthcare that produces high-quality outcomes for patients. SonderMind's... ...'ll join SonderMind's People Operations team as a Payroll and Benefits Administrator, taking ownership of end-to-end payroll...Temporary workWork experience placementLocal areaImmediate startFlexible hoursShift work- Employee Benefits is the core of our business and at our heart we are a people-focused organization. Every day, we help over 100,000 employers give their employees peace of mind by providing health, pharmacy, long and short-term disability, vision, dental and other insurance...Full timeTemporary workLocal area
$100k
...meet the unique coverage and claims-handling needs of businesses... ...Defect Technical Claims Specialist Employment Type: Full-Time FLSA... ...SD, or VT. This role will be adjudicating our most complex... ...performance as well as a generous benefits package. Colorado outside of...Full timeLocal areaRemote work- ...Benefits SpecialistWhatever the role, everyone at Grady is part of... ...you.Job SummaryThe Benefits Specialist will administer and support employee... ....Assist employees with claims issues and coverage questions... ...benefits administration, HR, or healthcare-related employee services...Flexible hours
- ...Benefits SpecialistWe are seeking a highly organized and detail-oriented Benefits Specialist to oversee leave of absence administration, including FMLA, Short-Term Disability (... ...Disability (STD) and Long-Term Disability (LTD) claims with the company's external disability...Temporary work
- ...Job Description As we continue our rapid growth, we're seeking a proactive Benefits SME to take ownership of designing, implementing, and enhancing our benefits programs across the Americas Region (strong focus in the US, Canada and Brazil but may expand over time). You...
- ...Senior Global Benefits SpecialistNCR Voyix Corporation is a global platform-powered leader... ...worldwide.The Senior Global Benefits Specialist supports NCR Voyix's domestic and... ...programs, and manages daily operations for healthcare plans, retirement programs, leaves of absence...Local areaWorldwideFlexible hours
- ...team! We are located in Atlanta, GA (Dunwoody). The VOB Specialist is responsible for confirming benefits for patients seeking treatment services from our... ...accuracy and understanding of how to obtain approved claims. Performs other duties assigned. Why You Should Join...Full timeWork at office
$68k - $78k
...craftsmanship, support one another, and create welcoming experiences that make guests feel at home. THE ROLE The Senior Benefits & Payroll Specialist is the primary owner of all benefits administration for the organization. This role ensures accurate, timely, and...- ...Remote Benefits SpecialistJoin our team as a remote benefits specialist in Decatur, GA—help families with tailored insurance solutions while enjoying career growth and remote flexibility.Are you a motivated, high-energy individual with a passion for helping others? Do...Remote workFlexible hours
$90k - $105k
...Base pay range $90,000.00/yr - $105,000.00/yr Key Responsibilities Administer employee benefits programs, including medical, dental, vision, life, and disability plans Lead and support annual open enrollment activities, including system configuration, employee communications...Full timeTemporary work- ...Entry-Level Remote Benefits SpecialistFully Remote – U.S. (Georgia priority + select approved states)Employment Type: Full-TimeBuild a Career — Not Just Another JobThe Weatherspoon Agency (TWA), has served working families for over 70 years through a unique, union-based...Temporary workRemote workWork from homeDay shift
- ...OneDigital Benefits Consultant Opportunity Employee Benefits is the core of our business and at our heart we are a people-focused organization. Every day, we help over 100,000 employers give their employees peace of mind by providing health, pharmacy, long and short...Temporary workLocal area
- Aylo Health Services, Inc. seeks an Insurance Reimbursement Specialist to manage the claim lifecycle, analyze coding accuracy, and maximize reimbursements. The role requires ICD & CPT coding expertise, EMR proficiency, and strong communication with insurers and patients...
$115k - $135k
Build a brilliant future with Hiscox The Complex Claims Specialist is a senior level individual contributor position. This person adjudicates assigned claims within given authority and provides operational support to the claims team. Job Type Permanent This Person Will...Permanent employmentTemporary workWork at officeLocal area- Vega Claims in Atlanta, GA, seeks a Claims Recovery Adjuster to strengthen our growing claims program. You will manage recovery for... ...offices. Ideal candidates have 5-10 years in auto/transport claim adjudication and at least 3 years in insurance recovery/subrogation, with...
- ...located in Atlanta, is searching for a Claims Recovery Adjuster to enhance its... ...possess 5-10 years of auto claim adjudication experience and a strong track... ...recovery. Vega offers comprehensive benefits, including employer-paid healthcare, competitive salary, and a supportive...Work at officeRemote work
- ...Administrator will oversee human resources programs including healthcare education and enrollment/decline process, new hire orientation,... ...payroll administration, uniform supply management, and unemployment claims management. In addition to Human Resources administration,...Work at officeMonday to FridayFlexible hours
- ...at risk of becoming homeless to prevent housing loss and further self-sufficiency. Primary Function & Purpose: The Benefits Enrollment Specialist/WIC Navigator will work as a member of the Family Well-Being Department to support the Public Benefits initiatives with...Work at office
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