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Duke University Health System

Durham, North Carolina

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Banner Health

Buckeye, Arizona

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AdventHealth

Altamonte Springs, Florida

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Baylor Scott & White Health

Dallas, Texas

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CHRISTUS Health

Irving, Texas

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Duke University Health System

Durham, North Carolina

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CHRISTUS Health

Alexandria, Louisiana

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AdventHealth

Ormond Beach, Florida

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Vanderbilt Health

Nashville, Tennessee

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Duke University Health System

Durham, North Carolina

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Banner Health

Phoenix, Arizona

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Northwest Permanente, Kaiser Permanente Northwest

Portland Metro Area, Oregon

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Banner Health

Phoenix, Arizona

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AdventHealth

Daytona Beach, Florida

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AdventHealth

Orlando, Florida

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Banner Health

Tucson, Arizona

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Banner Health

Tucson, Arizona

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Northwest Permanente, Kaiser Permanente Northwest

Portland Metro Area, Oregon

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Fairview Health Services

Minneapolis, Minnesota

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WMC Health

Valhalla, New York

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MemorialCare Health System

Fountain Valley, California

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Fairview Health Services

Minneapolis, Minnesota

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Vanderbilt Health

Nashville, Tennessee

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Root Claims Analyst
JOB SUMMARYThe Claims Analyst is responsible for claims processing, research and adjudication to correctly apply benefit determination and pricing for areas of responsibility to include clinic professional claims, hospital and facility inpatient and outpatient claims, and Rx-drug claims (CMS 1500 and UB04), in accordance with claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLEProcesses and adjusts professional and facility claims including, but not limited to, transplant, special handle, negotiations, and MSO according to claims processing guidelines. Maintains confidentiality rules in compliance with HIPPA guidelines.Pends claims as directed by departmental p


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