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WakeMed Health & Hospitals

Raleigh, North Carolina

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Children's Minnesota

MN and WI Remote, Minnesota

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Vanderbilt Health

Nashville, Tennessee

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Duke University Health System

Durham, North Carolina

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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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AdventHealth Greater Orlando

Tampa, Florida

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Duke University Health System

Durham, North Carolina

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Duke University Health System

Durham, North Carolina

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Duke University Health System

Raleigh, North Carolina

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Duke University Health System

Durham, North Carolina

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AdventHealth Greater Orlando

Winter Park, Florida

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Beebe Healthcare

Lewes, Delaware

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University of Maryland Medical System

Linthicum Heights, Maryland

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Duke University Health System

Durham, North Carolina

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Duke University Health System

Durham, North Carolina

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Duke University Health System

Durham, North Carolina

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Kindred Hospitals

Dover, New Jersey

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Duke University Health System

Durham, North Carolina

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AdventHealth Greater Orlando

Lake Mary, Florida

MD Anderson Cancer Center

Houston, Texas

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Duke University Health System

Durham, North Carolina

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ScionHealth

Louisville, Kentucky

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Claims Examiner
JOB SUMMARYThe Claims Examiner is responsible for claims processing, research and adjudication to correctly apply benefit determinations on routine medical claims (CMS 1500 and UB04) and Rx claims in accordance with claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLEProcesses and adjusts routine professional, facility and Rx claims according to claims processing guidelines. Pends claims as directed by departmental policies and procedures, follows up for resolution, and processes pended claims immed


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