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Financial Analyst
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- File claims appropriately stamping correct code on inpatient and outpatient claims.
- Work together with the Utilization Review nurse for clarity information on patient stay.
- Skill to communicate orally and in writing to collaborate with the third party insurers in obtaining pre-certification, avoid assessment of penalties, and reach agreement on insurance coverage parameters.
- Knowledge of or the ability to learn and function within, the medical systems in use at the site (CHCS, ADS, ARMS PRO, etc
- Knowledge of insurance plans and their terminology (example: HMO's vs TPA and PPO plans).
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