support systems to determine appeal and grievance outcomes inclusive of claims processing guidelines, provider contracts, fee...
migrations and ongoing oversight of service delivery. Premium & Claims support. Premium Booking/Collections oversight. Audit...
recovery on invalid short payments/claims. Disputes are researched utilizing SAP, Customer and third-party websites...
As it relates to the Value Proposition, become familiar with competitive products and product performance claims... are met Working with Marketing & Technical Services, determine claims to be made to enhance Consumer Experience and OCLG Value...
As it relates to the Value Proposition, become familiar with competitive products and product performance claims... are met Working with Marketing & Technical Services, determine claims to be made to enhance Consumer Experience and OCLG Value...
, and help policyholders navigate the claims process. We’ll provide the support network and resources to help you reach... calling, and various marketing strategies to bring in new business Aid policyholders with the insurance claims process...
ABOUT THIS POSITION Waystar is seeking a smart, technical and creative Enterprise Rules & Edits Analyst seeking.../payer requirements for claims billing & coding/authorization Leverage analytical tools (Excel, PowerBI, SQL Databases...
and posting Monitors vendor ledgers Works with Financial Analyst, Program Manager/Admins and other corporate service departments... and Release of Claims Intermediate knowledge of PIEE (WAWF) and Myinvoices Description: This blended AR/AP role will consist...
a prosecutor, investigators, an auditor, a nurse investigator, and an intelligence analyst. Duties & Responsibilities Obtains... one or more of the following: · Audit experience in medical claims and/or claims data. · Certification as a CPA or a CFE (Certified...
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