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Vanderbilt Health Logo
Clinical Trials Associate I
Vanderbilt Health

Nashville, Tennessee

NEW!
Vanderbilt Health Logo
Clinical Trials Associate I
Vanderbilt Health

Nashville, Tennessee

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Baylor Scott & White Health Logo
Claims Refund & Recovery Analyst, Baylor Scott&White Health Plan
Baylor Scott & White Health

Austin, Texas

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WMC Health Logo
Total Rewards Partner
WMC Health

Valhalla, New York

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SCL Health Logo
Health Informatics Manager-Medical
SCL Health

Broomfield, Colorado

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CHRISTUS Health Logo
Claims Specialist
CHRISTUS Health

San Antonio, Texas

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Kindred Hospitals Logo
Process Engineer - Business Transformation - Remote
Kindred Hospitals

Louisville, Kentucky

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Geisinger Logo
Coder IV
Geisinger

Danville, Pennsylvania

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Memorial Sloan Kettering Cancer Center Logo
Data Engineer II
Memorial Sloan Kettering Cancer Center

New York, New York

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Banner Health Logo
PFS Representative Phoenix Ortho Clinic
Banner Health

Phoenix, Arizona

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Duke University Health System Logo
Supervisor, Accounts Receivable - Remote
Duke University Health System

Durham, North Carolina

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Banner Health Logo
Claims Examiner
Banner Health

Phoenix, Arizona

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Memorial Sloan Kettering Cancer Center Logo
Research Project Associate - Multicenter Office of Clinical Research
Memorial Sloan Kettering Cancer Center

New York, New York

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Cook County Health Logo
CYTOTECHNOLOGIST II- PATHOLOGY %26 LABORATORY MEDICINE
Cook County Health

Chicago, Illinois

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Banner Health Logo
Claims Examiner
Banner Health

Phoenix, Arizona

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Baylor Scott & White Health Logo
GME Program Administrator 2
Baylor Scott & White Health

TEMPLE, Texas

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Geisinger Logo
Corporate Ethics and Compliance Specialist
Geisinger

Danville, Pennsylvania

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Veterans Affairs, Veterans Health Administration Logo
Medical Supply Technician (Sterile Processing RMD Coordinator)
Veterans Affairs, Veterans Health Administration

Cincinnati, Ohio

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Memorial Sloan Kettering Cancer Center Logo
Lab Aide, Diagnostic Molecular Pathology
Memorial Sloan Kettering Cancer Center

New York, New York

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Akron Children's Hospital Logo
Coding Denial Specialist
Akron Children's Hospital

Akron, Ohio

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Memorial Sloan Kettering Cancer Center Logo
Assistant Manager, Materials Management (Commack, NY)
Memorial Sloan Kettering Cancer Center

New York, New York

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Senior Talent Acquisition Specialist
Health Care District of Palm Beach County

West Palm Beach, Florida

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Banner Health Logo
Registered Nurse RN Clinical Research Oncology
Banner Health

Sun City, Arizona

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AdventHealth Logo
Clinical Documentation Specialist RN Tampa
AdventHealth

Tampa, Florida

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Harris Health System Logo
Sr Contract Administrator - Community Health Choice
Harris Health System

Houston, Texas

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Claims Examiner - Remote
Purpose Statement / Position SummaryThe Claims Examiner I accurately review, researches and analyzes professional claims.  Makes benefit determinations and calculations of type and level of benefit based on established criteria and provider contracts.Essential Functions and Responsibilities of the Job Knowledge of CPT/HCPC and ICD-9/ICD-10 codes and guidelines.Comprehensive knowledge of DMHC and CMS guidelines to accurately adjudicate Commercial and Medicare Advantage claims.Process HCFA 1500s and COB claims.Reviews, processes and adjudicate claims for payment accuracy or denial of payment according to Department’s polic


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