including negotiating change orders, claims and disputes resolution, review invoices for compliance with contract terms, monitor... or gender (including pregnancy, childbirth, lactation and related medical conditions), gender identity or gender expression...
including negotiating change orders, claims and disputes resolution, review invoices for compliance with contract terms, monitor... or gender (including pregnancy, childbirth, lactation and related medical conditions), gender identity or gender expression...
: Associate degree required. A minimum of three (3) yearsâ experience working with medical claims in a hospital, physician...-up including identifying, monitoring, appealing, and resolving denied claims. Perform detailed analysis on denied claims...
operations, medical coding, or claims adjudication, with a focus on quality assurance or validation processes. Bachelor's degree... Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Medical Auditor (CPMA). Experience...
, electronic medical records (EMRs), etc. to interpret clinical information, pharmacy claims, and benefit information Document... appointment scheduling, locating preferred specialist(s), enrollment in clinical programs, provider referrals...
, electronic medical records (EMRs), etc. to interpret clinical information, pharmacy claims, and benefit information Document... appointment scheduling, locating preferred specialist(s), enrollment in clinical programs, provider referrals...