Claims processing jobs in Atlanta, Georgia - Page 2Create job alerts

Job Title: Medical Records Specialist Location: Buckhead, GA (Hybrid) Shift: M-F 9am-5pm Pay: $19/hour About the role: The Medical Record Specialist is responsible for obtaining, organizing, and verifying medical records required for claims processing and compliance. This role ensures timely and accurate retrieval of documentation from providers, facilities, and other sources to support claim adjudication and audits. Success in this role hinges on strong problem-solving skills, excellent written communication, and meticulous attention to detail; all job-specific processes will be trained. Key Responsibilities: • Problem Solving: Track and monitor record requests to proactively identify and resolve issues or delays when communicating with providers and internal teams., • Attention to Detail: Meticulously review retrieved records for completeness and accuracy before submission, ensuring compliance standards are met., • Written Communication: Accurately and professionally document all retrieval activities and correspondence in the system for audit and reporting purposes., • Execute requests for medical records from various healthcare providers and facilities., • Maintain strict confidentiality and adhere to all privacy regulations (training provided)., • Collaborate with claims processors and analysts to ensure records meet requirements for claim resolution., • Assist with special projects related to record retrieval and compliance audits. Qualifications/Requirements:, • High school diploma or equivalent (Associate degree preferred)., • Exceptional Attention to Detail and proven accuracy in handling documentation., • Strong Problem-Solving Skills—must be able to independently manage retrieval issues and find solutions., • Excellent Written Communication Skills for clear, professional correspondence with external providers and internal teams., • Reliable and able to meet deadlines consistently., • Proficiency in basic computer applications (e.g., Microsoft Office Suite). All role-specific systems and regulatory compliance processes will be taught on the job., • Ability to manage multiple requests and prioritize tasks in a fast-paced environment. TRC Talent Solutions is proud to be an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. At TRC, we take pride in fulfilling our opportunity to add value to our client's business as their staffing partner, while working tirelessly to connect thousands of individuals each year with work opportunities where they can meet the needs of their families and have the potential to build their careers.

TRCTalent is working alongside a leading data center firm that is seeking a full time Risk Management, Sr Manager at their corporate office in Buckhead. Candidate must have bachelor's degree, CCIP knowledge and experience in construction/insurance. The Sr Manager, Risk Management is responsible for the development, implementation and maintenance of an environmental health and safety management system to ensure a safe, healthy workplace for employees and a safe, learning environment for students and visitors. Administers, plans, monitors and coordinates risk management activities, workers compensation, loss control and claims administration functions. Oversees emergency response programs and coordinates vendor insurance requirements and compliance. Responsibilities Conducts site assessments, reviews and self-inspections. Analyzes and interprets results, recommends appropriate corrective actions, communicates results and follows up on issues or concerns until completion Develops, implements, and maintains policies and procedures ensuring adherence to local, state, and federal environmental, health and safety regulations. Keeps abreast of changes to laws and regulations that impact the organization. Serves as a contact with federal, state, and local regulatory bodies. Responsible for conducting and evaluating periodic safety, fire and/or hazardous conditions or substance inspection of all company facilities, equipment and employee work practices; recommend changes and coordinates implementation. Tracks and oversees all Contractor-Controlled Insurance Programs (CCIP)s. Interprets insurance coverages and communicates policy and procedure changes to appropriate users. Serves as a resource for all risk management related issues for risk and insurance issues in all activities. Designs, directs and coordinates risk programs of company to control exposures and minimize loss. Responsible for the claim filing process for property and liability incidents. Prepares bid specifications and participates in the selection process. Reviews and updates policies, programs, and procedures ensuring inclusion of any new legal requirements. Reviews and investigates accident/incident reports, compiling findings and recommendations for corrective actions into summary report. Participates in shared governance process as a task force member. Provides technical knowledge on health and safety related issues, plans, and projects for implementation. Assists with the design and development of facilities, work areas and work procedures and ensures the implementation of environmental, health and safety requirements accordingly. Completes duties and responsibilities in compliance with firm standards, policies and guidelines. Uses interpersonal skills and makes sound judgments to decide how duties and responsibilities are completed between coworkers, the supervisory chain, and customers. Completes all required training and professional development sessions sponsored by firm Supports the values and institutional goals as defined by firm. Participates in the development of outcomes, monitors assessment of those appropriate outcomes, and assists in the development of plans of action for improvement based on the assessment of those outcomes. Performs other duties as assigned Qualifications Education And Experience Five (5) years of experience in safety, industrial hygiene, hazardous waste operations, and/or emergency response/incident management, safety administration, and/or general insurance administration. Risk Management Certification. Knowledge, Skills, Abilities, And Competencies To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Knowledge of safety, health, and environmental engineering principles and practices. Knowledge of federal, state, and local regulations and national standards relating to applicable areas of Environmental Health, including DOT, OSHA, HAZMAT, and NFPA. Knowledge of safety system, risk minimization, and insurance provisions. Knowledge of standard concepts, practices, and procedures within the Environmental Health and Safety field. Ability to maintain an established work schedule. Demonstrated organizational and planning skills with attention to detail and follow through. Ability to apply regulatory requirements to ensure compliance. Ability to apply technical expertise, experience, and judgment to plan and accomplish goals. Ability to maintain confidentiality of work related information and materials. Demonstrated proficiency using standard office software applications. Demonstrated excellent written communication and interpersonal skills, with ability to work independently. Proficient in the use of e-mail, word processing, spreadsheet, database, and presentation software and use of the Internet to access data, maintain records, generate reports, and communicate with others. Ability to handle sensitive and extensive confidential data. Problem solving skills and the ability to lead, instruct, handle a large variety of details and to work with all levels of organization. Ability to perform and excel in a high-tech all-digital environment.

Job Description Aldridge Pite, LLP is a multi-state law firm that focuses heavily on the utilization of technology to create work flow synergies with its clients and business partners. Aldridge Pite is a full-service provider of legal services to depository and non-depository financial institutions including banks, credit unions, mortgage servicing concerns, institutional investors, private firms, and other commercial clients. Aldridge Pite is dedicated to providing best-in-class representation across all of its Practice Areas through its unwavering subscription to three fundamental tenets: Partnership, Integrity, and Innovation. Purpose Preparation, Processing and Filing Motions, Orders, Notice of Hearing, Adequate Protection Orders, Response to Motions to Sell, Motions to Approve Loan Modification/Deferrals/Partial Claims Specific Duties, Activities and Responsibilities • Review daily reports to ensure that files are handled efficiently and timely, • Preparation, Processing and Filing Motions, Orders, Notice of Hearing, Adequate Protection Orders, Response to Motions to Sell, Motions to Approve Loan Modification/Deferrals/Partial Claims, • Sending & Monitoring of Declarations/Affidavits in Support of Motions, Assignments, Meet and Confer Letters, and Motions for Client Approval, • Perform SCRA Searches and 48 hour Hearing Status, • Set up of Local Counsel and process Hearing Results, • Process ECF notifications and Attorney paper mail, • Update Client Systems, • Process Calls, Faxes, E-mails, Payment Histories, Disputes, Attorney Assignments and Debtor Checks, • Provide support to Management and attorneys, • Assist with additional projects as needed Job Requirements • High School Diploma, • Previous law firm experience is preferred but not required, • Must have the ability to communicate with Attorneys, • Must have ability to interpret client systems, • Must be proficient in software tools including but not limited to Word, Excel, Outlook and the Internet, • Must be organized and multi-task oriented, • Must have excellent communication skills General Competency Factors • Must be proficient in software tools, including but not limited to Word, Excel, Outlook, and the Internet., • Must possess strong written and verbal communications skills., • Must provide excellent customer service to internal and external customers, • Identifies and solves issues in a timely manner., • Must be a team player and willing to help others in their department whenever necessary., • Must be extremely organized and be able to multi-task., • Conscientious with respect to work completion, deadlines, time management and attendance., • Takes initiative in face of obstacles and identifies what needs to be done and takes action., • Demonstrates commitment to Firm’s vision, mission, and core values., • Analytical and detail oriented, while working at a fast pace and capable of multi-tasking., • Develops professional relationships and builds rapport with others., • Company Paid Life and Disability Insurance plans, • Medical, Dental and Vision Plans with Prescription coverage, • 401K Retirement Savings Plan, • Flexible scheduling (within reason, depending on position), • Generous PTO plan for all full-time employees, • Full equipment station at no cost for remote employees, including dual monitors, • Employee Assistance Plan, offering free 24/7 counseling and consulting services to support emotional health and wellbeing, • Wellness programs and employee discounts, • Learning and development training opportunities for both personal and professional growth

Job DescriptionParalegalEmployment Type: Full-Time, Entry LevelDepartment: Legal As a CGS Paralegal, you will work under the direction of a Supervisory Paralegal or Project Supervisor. You will provide litigation and administrative support to a group of United States Attorneys. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Collects court ordered restitutions and fines of criminal and civil defendants.- Drafts legal documents, and files legal documents using the Electronic Court Filing system (ECF),- Prepares garnishments, liens, and other legal process documents for collection.- Sends demand letters, files liens, run credit reports, prepares and submits subpoenas.- Manages and tracks collection activity in an internal database.- Communicates with and coordinates collection activity with AUSAs in the Monetary Penalties Unit (MPU).- Completes fact research in public information databases and other research databases to gather information and identify assets.- Prepares legal documents using templates, such as motions, memoranda, subpoenas, correspondence, discovery documents and other similar documents and forms.- Prepares all recurring legal documents in conformance with rules governing their style and format.- Performs routine document center support functions, such as photocopying, delivering items, assembling notebooks, including pulling file copies of documents, tabbing binders, numbering, binding, labeling, re[1]filing documents and shelving, packing boxes and preparing them for shipment, bate stamping, retrieving case materials, completing log sheet, answer phones, logging messages, and faxing information.- Provides trial preparation assistance to AUSAs by independently compiling trial notebooks, preparing jury instructions, drafting witness, and exhibit lists.- Opening new case files, closing case files, organizing case files, and record material for disposition or storage.- Maintains calendar of active cases and assigned AUSAs by scheduling appointments, interviews, conferences, providing reminders of commitments and court appearances.- Assist AUSAs in producing discovery to defense council.- Maintains, manages, and organizes case material utilizing software, including databases, spreadsheets, and word processing applications.- Sorts incoming mail and prepares outgoing mail including packaging boxes for shipment.- Filing pleadings using the Electronic Court Filing system (ECF).- Produces a variety of written documents using templates ad materials utilizing a range of office software applications.- Completes all aspects of travel in accordance with Federal Travel Regulations (FTR) and Department of Justice (DOJ) policies, including traveling arrangements, submitting authorizations, completing vouchers, and submitting local mileage claims.- Sorts incoming mail and prepares outgoing mail including packaging boxes for shipment. Qualifications:- Requires paralegal certificate, JD, or currently attending an ABA-accredited law school, having completed at least one year of study.- One year of legal training or legal experience or at least two years of college education may be substituted for the paralegal certificate.- Additionally, at least one year of litigation paralegal experience or project experience (as related to the task order) is required; trial experience very helpful.- Automated litigation support experience valued. Must have basic legal knowledge, including knowledge of standard legal citation to cite check legal motions and memorandum and must have sufficient experience with legal research tools such as LEXIS and Westlaw to perform basic legal research.- Requires excellent written and oral communication skills, thorough knowledge and hands-on familiarity with a variety of computer applications, including word processing, databases (such as document review and file management systems), spreadsheets, imaging, and hardware systems.- Role also requires basic familiarity with ESI tools and knowledge of eDiscovery procedures and resources.- Ability to consistently deliver highest quality work under extreme pressure will be very important. Our commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of meaningful government innovation! Explore additional job opportunities with CGS on our Job Board: For more information about CGS please visit: or contact:Email: #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Are you a bedside LPN seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be the place for you! The ICWP Review Nurse, as a member of a professional multi-disciplinary work team, is responsible for the complete medical review and appropriate processing of all pre-admission, level change and continued placement reviews for the Independent Care Waiver Program (ICWP) as contracted by Alliant Health Solutions. Medical review addresses the necessity and the appropriateness of the admission or continued placement utilizing the established criteria. ESSENTIAL JOB FUNCTIONS • Ensure that the required review documentation is complete and current; and maintains an organized and complete electronic record on each ICWP member., • Perform off-site or video (telehealth) nursing assessments when required and complete the DON screening tool to determine if candidate meets criteria for admission into program., • Accurately and efficiently perform pre-admission, level change and continued placement reviews for applicants/clients related to the Independent Care Waiver (ICWP) program., • Accurately render appropriate level of care decisions based on the information received using the DCH ICWP Policies; and clearly and concisely documents the rationale for all nurse reviewer decisions in accordance with applicable time frame requirements of the contract., • Prepares denial letters to applicants using appropriate business format., • Perform accurate data entry of clinical review and decision information into PA system., • Completes required review activity within contractual deadlines within established time frames., • Responds to provider inquiries through “Contact Us” mechanism., • Refer cases appropriately to the physician consultant for review when indicated., • Conduct re-evaluations and review of appeals utilizing stated criteria as outlined in the ICWP Manual, completes summary information required for appeals and fair hearings in a timely manner, and attends/participates in hearings when required., • Assists providers with resolution of claims edit issue as needed., • Participates in providing education as required., • Work in close collaboration with other team members to support the development of new projects and the continuous improvement of the overall work of the team., • Promote core values of teamwork, professionalism, effective communication skills and positive attitude., • Maintain security and confidentiality of all information in accordance with HIPAA laws, regulations, and company policies., • Demonstrate compliance with corporate and departmental policies as evidenced by attendance, punctuality, and professional appearance., • Performs other duties as assigned KNOWLEDGE, SKILLS, AND ABILITIES • Knowledge of ICD-10-CM and DCH program regulations governing GAPP Policies and Procedures., • Strong theoretical clinical knowledge base and problem-solving skills., • Strong organizational skills with ability to demonstrate the work priorities., • Demonstrated ability to perform work with considerable independence by use of creative thinking, thorough analysis of problems, and use of innovative approaches to problem resolution, • Strong computer knowledge and technical skills including but not limited to: typing skills at 30-40 WMP, data entry, and managing and reviewing electronic health information., • Ability to work remotely efficiently., • Excellent interpersonal, written, and verbal skills required. Required: • Registered Nurse (RN) or Licensed Practical Nurse (LPN) with active, unencumbered Georgia license, • Home Health and Community Health experience, • Knowledgeable of State Medicaid Waiver programs

Medical Biller/Claims Processing - Patient Support Representative (Home-Based) page is loaded## Medical Biller/Claims Processing - Patient Support Representative (Home-Based)locations: Atlanta, GA: Phoenix, AZ: Houston, TXtime type: Full timeposted on: Posted Todayjob requisition id: R1510283**Patie

Patient Support Medical Claims Processing ?Representative Contract Remote Role Location (Open to Remote US)As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams hel Medical Biller, Processing, Support, Claims, Patien

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25/hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You do

We're hiring a Part-time Customer Service Representative to join our Member and Provider Services team.Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members.We started Oscar in 2012 to create the kind of health insurance company

The Abney Group, Inc who have been established and in business for over 10 years, is looking to add a.Part time or Full-time Georgia P&C Licensed Customer Service Representative.This is an exciting opportunity for anyone wanting to.We hope it's you! Apply today!.Must currently possess an active Ge

Affordable Landscaping Services is a fast-growing landscaping and maintenance company serving residential and commercial clients across Georgia.We are expanding our remote support team and looking for a reliable, friendly, and organized Customer Service Representative to assist our clients and field

We're hiring a Full-Time Customer Service Representative to join our Member and Provider Services team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members.We started Oscar in 2012 to create the kind of health insuran

Part-time Research Study Personnel (Pay up to $790/wk.Due to demand, we are now accepting applications for personnel to participate in our local in-person and nationwide remote research studies.This gig is perfect for those looking for temporary, remote, part-time work.The hours are flexible and no

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Customer Service Agent - Remote Data Entry Clerk.This is your opportunity to start a long-lasting profession with unlimited opportunity.Find the freedom you've been looking for by taking a moment to complete our online application.Multiple shifts are readily available from early morning to night and

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Customer Service Representative.At Entertainment Travel Associates, we specialize in providing exceptional travel experiences tailored to our clients' unique needs.Based in Tampa, FL, our team is dedicated to delivering seamless service, unforgettable journeys, and a commitment to excellence in the

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Computer based order processing.

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Customer Service Representative.Join National Dentex - a leading healthcare organization specializing in the dental industry! We offer a full spectrum of specialized products, services, and technologies to address any dental restoration need.Currently, we have 50 labs throughout the country.We are s

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Inbound Call Center Representative.Principle Choice Solutions, LLC (PCS) are trusted and respected healthcare revenue cycle experts.Even more than our experience, our level of service rises above others because we are passionate about what we do.At PCS, our mission is to provide value-based solution

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

Customer Service Representative.The Customer Service Representative provides effective customer service for all internal and external customers.Responsible for communicating with customers via phone, email, fax, etc.Provides timely and accurate information to incoming customer service orders, status

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Are you looking for a meaningful and fulfilling career? A.Rhodes is currently hiring a FT Receptionist position at our Atlanta community, and we would love the opportunity to work with you!! We are proud to be one of the few non-profit organizations in Georgia and ranked as one of America's Best Nur

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Part time or full time Atlanta, GA [Midtown Location].Bodyrok offers high intensity, low impact workouts that will tone, define and sculpt your body and mind in just 45 minutes.Bodyrok is a rapidly growing company looking for like-minded fitness enthusiasts to join the team.At Bodyrok, we are commi

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Front Desk Receptionist / Concierge.Are you a friendly, organized person who enjoys helping people and keeping things running smoothly? Frenchies Modern Nail Care in Smyrna is looking for a Front Desk Receptionist / Concierge to create a welcoming experience for our guests and help keep our salon ru

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Behavioral Health (Hospital) Receptionist / Switchboard Operator.The Behavioral Health (Hospital) Receptionist / Switchboard Operator (PBX) is needed to work PRN (On-Call) on weekends and some evenings during the week at the front desk of our busy hospital.We are looking for an experienced Reception

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The Medical Receptionist (Patient Services Coordinator) is responsible for greeting patients upon arrival, signing them in for their appointment, obtaining insurance information, providing forms, processing payments, and scheduling appointments.

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Books, welcomes, and charges out spa guests.Tours guests from spa front desk to fitness center, pool area, sundeck and locker rooms explaining the amenities, establishing a connection, and reserving steam room and sauna reservations.Responds to a wide variety of guest requests by accurately assessin

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Receptionist - State Farm Agent Team Member.Eddie Flynt - State Farm Agent is a leading insurance agency dedicated to providing exceptional service to our customers.We are currently seeking a dynamic individual to join our team as a Receptionist - State Farm Agent Team Member.Our ideal candidate is

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