Lawrenceville, Georgia, United States · On-site
$22/hr–$26/hr
Job DetailsJob Location: Lawrenceville, GA 30043Position Type: Full TimeSalary Range: $22.00 - $26.00 HourlyExamWorks is looking for a Determinations Specialist to join our team! The Determinations Specialist is responsi…
Skills: Critical Thinking, Medical Billing, Customer Service, HIPAA Compliance, Microsoft Word
Lawrenceville, Georgia, United States · On-site
Join a team that makes a difference in the lives of our clients and their families. If you are looking for a career that offers professional growth, a positive work environment with team morale and camaraderie, a team th…
Skills: Scheduling, Customer Service, Problem Solving, Record Keeping, Staffing
Lawrenceville, Georgia, United States · On-site
Phlebotomist II Float - Lawrenceville, GA, Monday to Friday, 8:00 AM to 5:00 PM, with rotational weekends In a Phlebotomy float role we offer a variety in work where no two days will quite look the same. Diverse, dynamic…
Skills: Phlebotomy, Pediatric Collection, Geriatric Collection, Capillary Collection, Customer Service
Lawrenceville, Georgia, United States · On-site
Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Customer Service Speciali…
Skills: Customer Service, Spanish Fluency, English Fluency, Sales, Product Recommendation
Lawrenceville, Georgia, United States · On-site
Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our benefits, see below! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control an…
Skills: Termite Treatment, Customer Service, Pest Control Inspection, Equipment Maintenance, Structural Modification Knowledge
Lawrenceville, Georgia, United States · On-site
Are you ready to take your career to the next level while savoring the delicious taste of success? Look no further than KBP Foods, where we're searching for energetic and passionate individuals to join our KFC Team as Te…
Skills: Customer Service, Food Handling, Cash Handling, Safety Standards, Fast Food Operations
Lawrenceville, Georgia, United States · On-site
Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our benefits, see below! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control an…
Skills: Wildlife Removal, Exclusion Services, Trapping, Baiting, Light Carpentry
Lawrenceville, Georgia, United States · On-site
POSITION SUMMARY: The Cashier is responsible for checking out customer's merchandise through the POS registers. They perform various Customer Service activities, to include greeting and acknowledging all customers in a p…
Skills: POS Operation, Customer Service, Cash Handling, Product Knowledge, Sales Promotion
Lawrenceville, Georgia, United States · On-site
At Captain D’s, our people are everything. We’ve built a culture that empowers and grows talent—because when our team thrives, so do we. As a Shift Leader , you're the face of the brand—leading the team and ensuring ever…
Skills: Leadership, Guest Service, Team Management, Fast-paced Environment, Communication
Lawrenceville, Georgia, United States · On-site
Responsibilities: • Responsible for preparing the donor, donor area and equipment for the pheresis process. • Prepares the autopheresis machine for the pheresis process. • Monitors the donor and the pheresis process, res…
Skills: Pheresis Process, Donor Care, Medical Equipment Operation, Data Recording, Patient Monitoring
Lawrenceville, Georgia, United States · On-site
Welcome! Interested in becoming a Ranger? Read more. At RangeWater, we look for people who show up and work together to achieve success and make positive impacts on the lives we touch and enrich the communities we serve,…
Skills: Leasing, Sales, Marketing, Customer Service, Property Management Software
Lawrenceville, Georgia, United States · On-site
YOUR ROLE As a part-time Brand Ambassador, you bring our brand to life every day! Your goal is to provide everyone who comes in the store with an amazing shopping experience, making their day better than before they came…
Skills: Customer Engagement, Sales, Product Knowledge, Problem Solving, Teamwork
Lawrenceville, Georgia, United States · On-site
Provide exceptional customer service to help people live healthier lives by treating our customers/employees in a fair and ethical manner, providing a safe, clean, inclusive environment, being a responsible member of the…
Skills: Customer Service, Patient Intervention, Health and Wellness Services, Confidentiality, Pharmacy Operations
Lawrenceville, Georgia, United States · On-site
AutoZone’s Store Management team drives store performance, fosters a productive team, and ensures exceptional customer service. Managers and MITs play a key leadership role, expected to Live The Pledge and deliver WOW! C…
Skills: Leadership, Decision Making, Customer Service, Sales Performance, Team Development
Lawrenceville, Georgia, United States · On-site
Do you have a demonstrated ability to drive process improvement and lead change? Penske Logistics is seeking a proven leader with relevant experience and skills to join our team of logistics professionals. We are seeking…
Skills: Leadership, Bilingual English/Spanish, Process Improvement, Warehouse Management, Communication Skills
Lawrenceville, Georgia, United States · On-site
Provide exceptional customer service to help people live healthier lives by treating our customers/employees in a fair and ethical manner, providing a safe, clean, inclusive environment, being a responsible member of the…
Skills: Customer Service, Patient Intervention, Health and Wellness Services, Confidentiality, Pharmacy Operations
Lawrenceville, Georgia, United States · On-site
Overview Your next adventure starts here! At Lucky Strike Entertainment, great times and exciting opportunities go hand in hand. Join us as a Greeter/Counter Desk Attendant and become part of a vibrant atmosphere filled …
Skills: Customer Service, Cash Handling, POS System Operation, Telephone Etiquette, Waitlist Management
Lawrenceville, Georgia, United States · On-site
$49k–$63k/yr
Sleep Number® is the leader in personalized sleep wellness. Backed by almost 40 years of innovation, Sleep Number has helped more than 16 million people achieve their best sleep. We are guided by our purpose – improving …
Skills: Consultative Sales, Relationship Building, Customer Experience, CRM Systems, Point-of-Sale Technology
Lawrenceville, Georgia, United States · On-site
$80k–$125k/yr
Commercial Lines Account Executive P&C License Required! Location: Lawrenceville, GA (In-Office) *Must reside in or around Lawrenceville, GA Hours: Monday - Friday, 9 AM - 6 PM ARE YOU A SALES SUPERSTAR? If your answer i…
Skills: Commercial Lines Insurance, P&C Insurance Sales, Relationship Development, Sales Presentation, CRM Systems
Lawrenceville, Georgia, United States · On-site
About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the compa…
Skills: Phlebotomy, Immunization Services, Patient Vitals, Medical History Taking, Insurance Knowledge
Lawrenceville, Georgia, United States • On-site
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The Determinations Specialist reviews and evaluates CMS files to identify discrepancies in MSA recommendations and conducts research to substantiate findings. They are responsible for communicating with clients and composing supporting documentation for presentation to CMS.
A high school diploma is required, while an associate's degree and 12 months of MSA production experience are preferred. Candidates must have prior customer service experience and proficiency in Microsoft Office and HIPAA regulations.
Job DetailsJob Location: Lawrenceville, GA 30043Position Type: Full TimeSalary Range: $22.00 - $26.00 HourlyExamWorks is looking for a Determinations Specialist to join our team!
The Determinations Specialist is responsible for utilizing clerical and clinical knowledge and applying critical thinking skills to review and evaluate files sent back from CMS with and without disagreement on MSA recommendations. This position analyzes CMS determination letters and identifies discrepancies, contacts clients, conducts research and ensures work is completed at the highest level and in compliance with all client protocols and departmental policies and procedures.
This is a Monday to Friday, 8am-5pm schedule.
Identify, analyze, and report discrepancies between ECS and CMS recommendations.
Research and provide reference information and physician support to substantiate ECS’s MSA recommendation where indicated.
Review of CMS findings; Identify if there is a basis to support reconsideration and contact clients to provide rationale and determine instructions to proceed.
Utilize knowledge of Medicare coverage guidelines and CMS published WCMSA Reference Guide; Navigate the computer database and conduct independent research as needed.
Research, analyze and defend the ECS MSA recommendations, including prescription drug recommendations.
Communicate effectively with the client and/or other authorized parties regarding supportive information required to support ECS’s position with the MSA.
Compose and attach all supporting documentation for presentation to CMS.
Enter all pertinent information into Galileo activities.
Observe and follow Client Protocols, which are posted on the Company Intranet.
Adhere to all departmental policies and procedures, including HIPAA requirements.
Adhere to all safety, health rules/regulations and security associated with this position and as directed by management.
Perform miscellaneous duties as assigned by management.
QualificationsEducation and/or Experience
High school diploma or equivalent required.
Associate’s degree preferred.
Prior customer service experience required.
A minimum of twelve months MSA production environment experience or related experience is preferred.
Previous Customer Service experience required. Minimum 12 months production environment experience or related experience preferred.
Adequate knowledge of 3rd party/COB (Coordination of Benefits) / insurance verification / medical billing (ICD-9/CPT) experience preferred.
Competency in mathematics, business terminology, clerical skills and time management.
Must possess complete knowledge of general computers, fax, copier, scanner, and telephone.
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, Adobe and the Internet.
Must have a full understanding of HIPAA regulations and compliance.
Ability to follow instructions and respond to managements’ directions accurately.
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Must demonstrate strong written and oral communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.
Must be able to demonstrate and promote a positive team-oriented environment.
Must be able to stay focused and concentrate under normal or heavy distractions.
Must be able to work well under pressure and/or stressful conditions.
Must possess the ability to manage change, delays, or unexpected events appropriately.
ExamWorks, LLC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.
Equal Opportunity Employer - Minorities/Females/Disabled/Veterans
Your Expert Partner for Custom Medicare Compliance and Mandatory Insurer Reporting.
ExamWorks Compliance Solutions is a leading authority on Medicare Compliance and Mandatory Insurer Reporting. Services include Medicare Set-Asides (MSAs), Conditional Payment Services, Evidence Based MSAs, Outcome Management, Pharmacy and Mitigation Services as well as state of the art MMSEA Section 111 reporting. Leveraging our on-staff team of Nurses, Certified Life Care Planners, Doctors of Pharmacy, and Attorneys we deliver accurate and defensible Legal Nurse Reviews, Life Care Plans, and settlement strategies on a superior technology platform.
Offices: 1424 North Brown Road, Suite 100, Lawrenceville, Georgia 30043, US
There are currently 336 open customer service & support positions in Lawrenceville, GA listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Domino's, Northside Hospital, Primark, AutoZone, Bass Pro Shops, among others. Browse the listings above to see every active employer.
Yes — 14 of the 336 open customer service & support positions offer remote or hybrid work (12 remote, 2 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
