documented. Research rejected, transition, and paid status claims for validity and escalate as appropriate. Use the various... systems of the department/company to complete research and gain sufficient knowledge of the claims system and how it relates...
) with various professional and facility/hospital providers in the research and resolution of all claims issues. May assist... to complete research. Monitors inventory reports to ensure claims are resolved accordingly. Provides documentation as requested...
! Description Job Purpose: As a Business Test Analyst II, you will develop test plans and test matrices, conduct testing, and report test... applications work in the production environment and meet the expectations of customers. Research and define system production...
Summary As a Provider Enrollment Analyst, you will be responsible in the provider enrollment process to review..., research, analyze, and process provider enrollment applications. You will also ensure provider file integrity...
Summary As a Provider Enrollment Analyst, you will be responsible in the provider enrollment process to review..., research, analyze, and process provider enrollment applications. You will also ensure provider file integrity...
! Description Job Purpose: As a Business Test Analyst II, you will develop test plans and test matrices, conduct testing, and report test... applications work in the production environment and meet the expectations of customers. Research and define system production...
positions by running queries and comparing to the accumulated claims in the billing system. Research variances, document... in accounting, auditing, billing, claims, membership, or finance. Ability to compile information, perform research and analyze data...
and information to assure accuracy. Attends project Scope, Design and Test Plan walkthroughs. Performs quality checks and research... with relevant departmental software and area reporting methodologies. Strong research and analytical skills. Attention to detail...
Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment... certification process, claims processing operations/systems, and pricing methodology and discount programs. In-depth knowledge...
. Understanding of claims adjudication on AMMS or similar system. Ability to interpret contractual language. Strong research...! Description Position Purpose: Responsible for performing in-depth review of resolved claims, enrollment, and customer inquiry processing...
with their specific technology(s), product(s), and/or processes. Research and stay abreast of all information that may impact the... solution or product. Assist in the research and development of new products including product evaluation, integration...