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Galileo Search, LLC - Medical Staff Services Search & Staffing Logo
Galileo Search, LLC - Medical Staff Services Search & Staffing

Confidential Search, Texas

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Kaiser Permanente - Washington Permanente Medical Group Logo
Kaiser Permanente - Washington Permanente Medical Group

Renton, Washington

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Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

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Duke University Health System Logo
Duke University Health System

Durham, North Carolina

Baylor Scott & White Health Logo
Baylor Scott & White Health

Dallas, Texas

BJC HealthCare Logo
BJC HealthCare

Saint Louis, Missouri

Duke University Health System Logo
Duke University Health System

Durham, North Carolina

Sonic Healthcare USA Logo
Sonic Healthcare USA

Aiea Heights,

UCLA Logo
UCLA

Los Angeles, California

AdventHealth Logo
AdventHealth

Orlando, Florida

AdventHealth Logo
AdventHealth

Orlando, Florida

UCLA Logo
UCLA

Los Angeles, California

UCLA Logo
UCLA

Los Angeles, California

Duke University Health System Logo
Duke University Health System

Durham, North Carolina

Kaiser Permanente - Washington Permanente Medical Group Logo
Kaiser Permanente - Washington Permanente Medical Group

Renton, Washington

University of Maryland Medical System Logo
University of Maryland Medical System

Baltimore, Maryland

Duke University Health System Logo
Duke University Health System

Durham, North Carolina

Duke University Health System Logo
Duke University Health System

Durham, North Carolina

University of Maryland Medical System Logo
University of Maryland Medical System

Linthicum, Maryland

University of Maryland Medical System Logo
University of Maryland Medical System

Linthicum, Maryland

Harris Health System Logo
Harris Health System

Houston, Texas

Harris Health System Logo
Harris Health System

Houston, Texas

Harris Health System Logo
Harris Health System

Houston, Texas

Harris Health System Logo
Harris Health System

Houston, Texas

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Claims Anlst
JOB SUMMARY The Claims Analyst is accountable 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), by claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLE Processes 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 policies and procedures; follows up for resolution and processes pe


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