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Claims Processor
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Full-time
- As a Claims Processor, you will play a pivotal role in ensuring the efficiency and accuracy of claims processing within our organization.
- Your responsibilities will encompass a wide range of tasks, including year-end processing, managing adjustments, coordinating benefits, handling subrogation and high-dollar claims, processing Medicaid claims and complex appeals, and engaging in hospital audits.
- Subrogation and High-Dollar Claims: Handle subrogation claims and high-dollar claims, applying sound judgment and attention to detail in reviewing and processing these complex cases.
- Medicaid Claims and Complex Appeals: Process Medicaid claims and assist in handling complex appeals, demonstrating a thorough understanding of Medicaid regulations and procedures.
- Bachelor's degree in business administration, healthcare management, or a related field preferred.
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