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Description The Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative 2..
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... and a worldwide leader in claims administration, serving millions of beneficiaries ... businesses. We are a world-class claims processor and program administrator for the ... Valuesu003c/strongu003eu003c/pu003enu003cpu003eOur purpose is to..
... restrictions.u003c/strongu003eu003c/liu003enu003cliu003eBacheloru0026rsquo;s degree in Business, Insurance, Healthcare Administration or related field; OR ... data analysisu003c/liu003enu003cliu003eSupervisory/leadership experience in a claims or customer service department within ... and a worldwide leader in..
... or workload; compiling statistical data, claims, and medical records; data input, ... review and/or tracking of electronic claims.u003c/liu003enu003cliu003eMonitor aged claims and assign to nursing staff ... personnel a log..
... Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Centers ... personal data as a data processor or service provider. Our legal ... Our legal obligations as a..
... medical documentation for post pay claims submitted to Medicare to ensure ... Review Nurse Analyst will review claims and deliver provider education as ... (TPE) program.u003c/liu003enu003cliu003ePerform review of submitted..