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UCLA HEALTH Logo
Claims Manager - Medicare Advantage
UCLA HEALTH

Los Angeles/CA/USA

NEW!
Valley Children's Healthcare Logo
Certified Coder II (Outpatient) - Patient Accounting - Government - Full Time
Valley Children's Healthcare

Madera, California

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AdventHealth Logo
APC Edit Correction Coordinator Remote
AdventHealth

Altamonte Springs, Florida

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Duke University Health System Logo
Financial Care Counselor
Duke University Health System

Durham, North Carolina

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AdventHealth Logo
Practice Manager Primary Care
AdventHealth

Ormond Beach, Florida

NEW!
The Joint Commission Logo
Lead Data Governance
The Joint Commission

Oakbrook Terrace, Illinois

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AdventHealth Logo
Employee Relations Legal Support Specialist Remote
AdventHealth

Altamonte Springs, Florida

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AdventHealth Logo
Clinical Risk Program Manager
AdventHealth

Orlando, Florida

Duke University Health System Logo
Financial Care Counselor - DUH Admissions
Duke University Health System

Durham, North Carolina

Louisiana State Radiologic Technology Board of Examiners Logo
Compliance Officer
Louisiana State Radiologic Technology Board of Examiners

Metairie, Louisiana

Duke University Health System Logo
Financial Care Counselor - Pediatric Dermatology at Patterson Place
Duke University Health System

Durham, North Carolina

AdventHealth Logo
Certified MA - Cardiology Calhoun
AdventHealth

Calhoun, Georgia

AdventHealth Logo
Certified Medical Assistant - Float Pool
AdventHealth

Calhoun, Georgia

Duke University Health System Logo
PATIENT SERVICE REPRESENTATIVE - PATIENT/SURGICAL RESERVATIONS & PRE-RE
Duke University Health System

Durham, North Carolina

Vanderbilt Health Logo
Clinical Trials Associate 1
Vanderbilt Health

Nashville, Tennessee

AdventHealth Logo
APC Coordinator (REMOTE)
AdventHealth

Maitland, Florida

Baylor Scott & White Health Logo
Clinical Informatics Coordinoator
Baylor Scott & White Health

Temple, Texas

Duke University Health System Logo
FINANCIAL CARE COUNSELOR
Duke University Health System

Durham, North Carolina

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

Iowa City, Iowa, Iowa

Baylor Scott & White Health Logo
Health Plan Clinical Informatics Specialist 1
Baylor Scott & White Health

Temple, Texas

Duke University Health System Logo
Financial Care Counselor - DUH Admissions
Duke University Health System

Durham, North Carolina

AdventHealth Logo
Physician Assistant AdventHealth Medical Group Bexley Care Pavilion
AdventHealth

Land O' Lakes, Florida

WMCHealth Logo
DRG Coordinator Coding
WMCHealth

Montebello, New York

Baylor Scott & White Health Logo
Health Plan Configuration Analyst 2
Baylor Scott & White Health

Temple, Texas

WakeMed Health & Hospitals Logo
Your career. Made up of quality, care and compassion.
WakeMed Health & Hospitals

Raleigh, North Carolina

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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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