Adjustment Specialist I, the incumbent will be responsible for analyzing standard to complex post-paid healthcare claims... that require in depth research to determine accuracy and/or mitigate payment errors. The Claims Adjustment Specialist...
and Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or (CRC) Certified Risk Adjustment Coder in... Risk Adjustment Program activities. Manages clinical review and audits, manages coding and abstracting the medical records...
for problem-solving and a love for cloud-native applications? Join our dynamic team as a Software Developer / Support Specialist... Knowledge US Healthcare Insurance & Payer Analytics Payer Management: Claim Edits, Prepay & Post-pay Business, Claims Auditing...
for problem-solving and a love for cloud-native applications? Join our dynamic team as a Software Developer / Support Specialist... Knowledge US Healthcare Insurance & Payer Analytics Payer Management: Claim Edits, Prepay & Post-pay Business, Claims Auditing...
Management to resolve matters with insurance brokers and policyholders with respect to adjustment of claims, opportunities... Specialist (MRIS) Associate in Surplus Line Insurance (ASLI) Associate in Commercial Underwriting (AU) Associate in Insurance...
5701 (Notice of Proposed Adjustment) are appropriate based on AIG’s disclosures. Update disclosure logs and 5701 logs... calculation for each audit cycle and facilitate closing with IRS audit and/or Appeal computational specialist. Review...