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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..
... 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..
... personal data as a data processor or service provider. Our legal ... Our legal obligations as a processor and service provider are set ... we serve as a data..
... analysis and research, solve problems (healthcare has a few), communicate data-driven ... and a worldwide leader in claims administration, serving millions of beneficiaries ... businesses. We are a world-class..
... is in place.u003c/liu003enu003cliu003eAssist in insurance claims, as necessary.u003c/liu003enu003cliu003eUse National Association of ... and a worldwide leader in claims administration, serving millions of beneficiaries ... businesses. We are a world-class..
... 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..
... TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.u003c/pu003enu003cpu003eu003cstrongu003eIn this ... TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.u003c/liu003enu003cliu003eApply ... responses to inquiries.u003c/liu003enu003cliu003eObtain and analyze..
Job Description Manager, Service Operations will oversee 5 to 7 Supervisors and their corresponding teams of processors. Total line of site would be @ 85 to 100 FTE's including Supervisors. Primary ..
... and adjudicates complex or specialty claims, submitted either via paper or ... to return, deny, or pay claims following organizational policies and procedures. ... years of experience within the..
... word. Experience in nursing or healthcare preferred; including a broad understanding ... personal data as a data processor or service provider. Our legal ... Our legal obligations as a..
... 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..
u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u003c/strongu003eProcess Medicare claims through effective use of online ... image.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu0026nbsp; u0026nbsp;Claims Processing (90%)u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eApply federal and internal ... payment or denial of services.u003c/liu003enu003cliu003eAudit claims for..
... 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..
... 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..
