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Claims Examiner
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- Job Title: Claims Examiner
- Experience Requirement: Minimum of 2 years of adjudication-related experience in an ambulatory, acute care hospital, HMO, or IPA environment.
- Position Summary: The Claims Examiner directly reports to the Claims Manager and is primarily responsible for processing UB-92 and HCF1500 claims received from PHP affiliated medical groups and hospitals for HMO patients.
- This role involves operation, adjudication, and payment of claims.
- Minimum of 2 years of claims adjudication-related experience in ambulatory, acute care hospital, HMO, or IPA environment.
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