Trabajos medical claims en Atlanta, Georgia - Page 4Crear alertas

Job Description Welcome to Amwins — where interns don't just learn the ropes, they help shape the future (and have a blast doing it). We believe the best way to learn is by doing. That's why our internship program is designed to give you real-world experience, meaningful projects, and a chance to explore the insurance industry from the inside out. You won't be fetching coffee — you'll be building skills, making connections, and discovering what a career in risk management and insurance could look like for you. That's why our program was recognized as one of the 2025 RISE Elite 50 Internships. Why Amwins? We're not just a company — we're a culture. At Amwins, we: • Invest in our people through education, development, and mentorship., • Celebrate diversity, equity, and inclusion., • Give back through the Amwins Foundation and Summer of Service., • Are 43% employee-owned — because we believe in shared success. Whether you're exploring career options or ready to dive into the insurance world, Amwins is the place to start. Kickoff your journey with a Summer 2026 Group Benefits Internship in Atlanta, GA, with the option of part time work continuing during the school year with satisfactory completion of summer duties. What You'll Do As an intern, you'll: • Work alongside professionals who are passionate about what they do., • Gain exposure to different areas of the insurance industry — from brokerage and underwriting to client services and analytics., • Apply classroom knowledge to real business scenarios., • Contribute to projects that matter and make an impact., • Build relationships with mentors, teammates, and leaders across Amwins. What You'll Gain • A deeper understanding of the risk management insurance market., • Hands-on experience that helps you test career paths without long-term commitment., • A network of professionals and peers who support your growth., • Core skills like communication, problem-solving, and teamwork — all essential for any career. Tasks & Responsibilities Amwins Accident & Health Underwriters (AAHU) is a Managing General Underwriter specializing in medical Stop Loss insurance for self-funded employer health plans. Our Operations team supports the full lifecycle of a Stop Loss policy — from initial RFP intake through underwriting, policy issuance, premium and claims administration. As an intern in this group, your day-to-day will rotate across three core functional areas throughout the year providing exposure to multiple functional areas within the company. Underwriting Quote / RFP Intake (Summer — Peak Season July through Early October) • Log and track incoming Request for Proposal (RFP) submissions from brokers into our business management system (ESL). Sold Case / Policy Issuance (Mid-October through Mid-January) • Support initial implementation tasks for New and Renewal sold Stop Loss cases, beginning with a close review of the Policy record in ESL against the sold Proposal signed by the broker or policyholder., • Generate the Stop Loss Application using established templates, review to ensure it reflects what was quoted and sold in the proposal, and email it to the appropriate broker contact for signature., • Conduct follow-up with brokers for return of signed Applications and other required post-sale documentation., • Assist with policy document and riders generation and quality review to ensure policy terms accurately reflect what was quoted and sold., • Help track outstanding implementation items and escalate delays per team guidelines. Claims Intake (Mid-January through End of April) • Assist with intake and logging of Stop Loss claims submissions received from Third Party Administrators (TPAs) into the appropriate system of record., • Review incoming claims packages for documentation completeness and flag deficiencies for the claims team., • Support tracking of claims filing deadlines and assist with correspondence to TPAs regarding outstanding items., • Learn how specific and aggregate Stop Loss claims are processed, including how specific deductibles and aggregate accumulations are applied. Year-Round & Development Activities • Participate in team meetings and cross-departmental shadowing to build a broad understanding of the Stop Loss MGU business model., • Contribute to a defined project in collaboration with your supervisor, aligned to team and AAHU business needs., • Complete self-guided learning on medical Stop Loss insurance concepts, self-funded plan mechanics, and the role of TPAs and brokers in the stop loss ecosystem., • Network and enjoy social outings with other Amwins interns. Who We're Looking For • Students enrolled at an accredited college or university., • Preferably those completing their sophomore year in summer of 2026, • Pursuing a degree in Business, Finance, Sales, Risk Management & Insurance, or a related field., • Recommended GPA of 3.0 or higher., • Strong communication and analytical skills., • Students who are curious, driven, and eager to learn., • Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint.

Job Description Front office responsibilities -The Front Desk Receptionist serves as a liaison between patients and medical staff -Maintains accurate patient information in all charts and the computer system by updating patient demographic information -Requires the ability to deal with people courteously and promptly both in person and over the phone. -Handle check in and check out functions in a timely fashion -Includes being able to check patient balances and collect on previous balances on a consistent basis -Verifying insurances on every patient visit -Ensuring copayments, deductible, balances are being optimally collected on -Coordinates referrals from primary care -Making self available and reliable patient coordinator (reliable checking faxes and emails daily) -Efficiently answers phones, take accurate and timely messages -Handle as much as you can directly with patients before sending messages to the back office -Expected to reply to patients on Patient Pop daily via email and text messages -Participates in supporting the organization’s vision, mission and values and adheres to Life Orthopaedic and Spine -Understanding personal injury claims and how to process from a front perspective, including obtaining information about medpay, medical records and attorney lien letter of protection signatures in advance of seeing the patient -This will be coordinated with our billing team medico legal liaison -Performs other duties as assigned to meet the goals and objectives of Life Ortho and Spine -Filling in on duties and roles in fashion to make small practice successful -Being a team player SPECIAL EQUIPMENT UTILIZED: -Computer -Multi-line -Telephone FAX -Copier -Printer Scanner Job Type: Full-time Pay: $13.00 - $17.00 per hour Clinic Schedule: Monday to Friday.( 8-5pm) Both locations Saturday hours between 8:30 am - 1:00 pm ( Dunwoody only) Experience: Not necessary Work Location: Both locations

Job DescriptionCompany Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Job Description As outlined below, provide quality improvement focused work for all delegated entities and support for ACO quality reporting for all contracted ACOs. WHAT YOU’LL BE DOING ● Work in a fully remote environment and virtually engage with company and team in your daily work. ● Serve as a Subject Matter Expert (SME) across Medicare Advantage STAR, Commercial, Medicaid, and MSSP ACO quality measures, services, customers, and quality improvement initiatives under various commercial and governmental payers. ● Conduct proactive patient outreach initiatives to identify and address quality gaps across Medicare Advantage, Commercial, Medicaid, and MSSP populations, engaging patients to educate them on preventive care measures, schedule necessary screenings or appointments, and support adherence to treatment plans and medications to improve health outcomes. ● Support ACO quality reporting and performance improvement activities, including MSSP reporting requirements and payer-specific submissions. ● Collect and abstract quality data using multiple data sources including EMR systems, claims data, provider outreach, payer portals, and patient engagement workflows. ● Manage daily work using multiple systems and applications — EMR platforms, payer/vendor portals, Guidehealth applications, Microsoft 365 (Excel, Word, PowerPoint), Outlook, and Teams. ● Work with patient lists, gap lists, sourced health data, medical records, and performance dashboards related to Medicare, Commercial, Medicaid, and MSSP populations. ● Leverage all quality-related resources to ensure accuracy and completeness of work — measure specifications (NCQA/HEDIS®, CMS, MSSP), coding guidance, project workflows, and quick-reference materials. ● Prioritize daily work to meet various quality reporting deadlines, including STAR Ratings, Medicaid quality programs, Commercial payer initiatives, and MSSP ACO reporting timelines. ● Communicate quality performance trends, barriers, and improvement strategies internally and with customers, providers, and payers. ● Follow all established policies and procedures for QI workflows to ensure compliance and success across multiple payer programs. ● Collaborate with customers, payers, providers, and internal teams to drive quality performance improvement. ● Participate in departmental, payer-sponsored, and ACO-related trainings, webinars, and support calls throughout the year. ● Communicate professionally and build strong working relationships with co-workers, customers, providers, and care teams. WHAT SUCCESS LOOKS LIKE IN 3 MONTHS • Complete QI Department training, orientation and shadowing., • Have a solid understanding of QI department scope of work and assigned customer., • Begin to take QI responsibility for assigned customer while partnering w/ a seasoned QI co-worker., • Moving towards independence w/ QI ownership of assigned IPA w/ periodic support from QI team., • Taking lead or co-lead on QI portion of customer meetings and meeting preparations., • Fully independent with minimal direction and support needed. Qualifications WHAT YOU'LL NEED TO HAVE • Associate degree or greater in related field, • Minimum 1-3 years of experience in healthcare setting; time spent working/charting/data abstraction via EMR system/s, knowledge of medical terminology, quality measures, medical billing/coding., • Minimum 2 years’ experience in Medicare Advantage Quality data abstraction and patient outreach, • Tech savvy in managing the technical side of this position-working with health data, working in excel and PowerPoint, navigating multiple systems and applications., • Highly skilled in verbal and written communications., • Strong attention to detail, organized and ability to meet hard deadlines., • Certified/licensed professional-CMA, LPN, • Knowledge or experience in quality improvement initiatives and data submissions required by various health insurance payers., • Extensive experience with quality database entries and reporting., • Experience in interpreting and reporting quality information, as well as training staff., • Proficiency in Electronic Medical Record (EMR) software and cloud platformS Additional Information All your information will be kept confidential according to EEO guidelines. ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us. While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest. To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.

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

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

The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The Medical Director uses their medical

Senior Claims Specialist- Accident & Health (Medical Stop Loss). The purpose of this role is to provide exceptional claims service to customers by managing complex claims effectively. Assist in implementing and maintaining claims management strategies.

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

Employment type: - “Casual Employee” (per diem, hourly clinician role) - Anticipated average of 8–20 patient care hours per week, with actual hours varying according to office needs Location: - Seeing patients across multiple offices in Atlanta, GA including the Ponce City Market clinic lo

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

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

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

Customer Service Representative.Equifax is where you can power your possible.If you want to achieve your true potential, chart new paths, develop new skills, collaborate with bright minds, and make a meaningful impact, we want to hear from you.As our consumers' first point of contact or for escalate

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

The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Our policy is to provide employment, training, compensation, promot

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

Spanish Bilingual Remote Customer Service Representative.Hourly Position Type Full Time.It's truly an exciting time to be a part of Vimo! We are hiring Remote Customer Service Representatives to join our elite teams.Despite everything we are facing in our communities and our country right now, Vimo

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

Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you! State Farm agents market only State Farm insurance and financial service products.Responsibilities inc

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.GreenSky LLC, headquartered in Atlanta, is a leading technology company Powering Commerce at the Point of Sale for a growing ecosystem of merchants, consumers, and banks.GreenSky's highly scalable, proprietary and patented technology platform enables merchants to offe

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 primary responsibility of this position is to answer all incoming calls and provide assistance to visitors entering the facility.The incumbent may perform additional clerical duties.The incumbent is the primary example of customer service and should always be cour

Breathe easy with medical, dental, and vision benefits for your family (and pets, too!).

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.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

We are a very busy office and are looking for our next great team member.This busy insurance and financial services office has a passion to make a difference in the lives of others and better the community.We are a growing agency with big dreams and lots of potential.Our team works hard to reach our

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

Medical Receptionist- Clinical Operations Specialist - Seasonal. The Medical Receptionist- Clinical Operations Specialist - Seasonal will perform multi-faceted job responsibilities that are narrow and wide in scope to include administrative, finance, and clinical pre-operative duties. Maintains conf

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

Jake Ottoson - 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 highly organized, detail-oriented, and comm

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.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Receptionist - Client Service Specialist.CityVet is looking for Client Service Specialists to join our team! At CityVet, we know our team of happy people is as unique and diverse as the pets we care for.We recruit and promote CityVet team members based on their abilities and accomplishments and crea

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.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Multiple coverage choices for medical insurance, all include free telemedicine and medical spending account (HSA/FSA) options.

C, Lithonia, GA, 30058-8380, United States.Other Compensation Monthly Bonuses.

The Receptionist provides clerical support for the administrative and program staff of the agency, including answering telephones, greeting clients and visitors, typing, filing and the administration of medication in the absence of clinic staff.Greet all visitors, staff and parents, determine their

Customer Service Representative.The primary responsibility of this position is to answer all incoming calls and provide assistance to visitors entering the facility.The incumbent may perform additional clerical duties.The incumbent is the primary example of customer service and should always be cour

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.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese