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Northeast Georgia Health System
Gainesville, Georgia
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Northeast Georgia Health System
Gainesville, Georgia
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Payor Enrollment Specialist (Medicare or Medicaid exp preferred) (Provider Enrollment Dept) - REMOTE
Vanderbilt Health
Nashville, Tennessee
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Atlantic Health System
Summit, New Jersey
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Northeast Georgia Health System
Gainesville, Georgia
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Atlantic Health System
Morristown, New Jersey
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University of Maryland Medical System
Linthicum Heights, Maryland
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Atlantic Health System
Scotch Plains, New Jersey
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Atlantic Health System
Morristown, New Jersey
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Atlantic Health System
Morristown, New Jersey
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Claims Adjustment Anlst
JOB SUMMARYThe Claims Adjustment Analyst performs extensive reviews on member or provider claim issues to calculate root cause research. Researches and investigates previously paid or denied claims to correctly apply benefit determination and pricing in accordance with claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLEPerforms extensive reviews on member or provider claim issues to learn root cause research. Documents, tracks, resolves and reports findings. Provides professional assistance to other staff, members and providers by researching and resolving claims payment issues resulting from configuration or processing errors. Follows up with appropriate department to resolve front
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