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Duke University Health System

Durham, North Carolina

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Fred Hutchinson Cancer Center

Seattle, Washington

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AdventHealth

Daytona Beach, Florida

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Baylor Scott & White Health

Remote,

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AdventHealth

Kissimmee, Florida

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WakeMed Health & Hospitals

Raleigh, North Carolina

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Memorial Sloan Kettering Cancer Center

Monmouth, New Jersey

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Kindred Hospitals

Indianapolis, Indiana

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UCLA

Los Angeles, California

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Baylor Scott & White Health

Frisco, Texas

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AdventHealth

Maitland, Florida

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Baylor Scott & White Health

Temple, Texas

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Nicklaus Children’s Health System

Miami, Florida

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Vanderbilt Health

Nashville, Tennessee

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WakeMed Health & Hospitals

Raleigh, North Carolina

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CHRISTUS Health

Corpus Christi, Texas

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Baylor Scott & White Health

Plano, Texas

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Sonic Healthcare USA

Rye Brook, New York

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Akron Children's

Akron, Ohio

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CHRISTUS Health

Santa Fe, New Mexico

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Baylor Scott & White Health

Grand Prairie, Texas

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Vanderbilt Health

Nashville, Tennessee

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Baylor Scott & White Health

Temple, Texas

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Claims Examiner Senior - Health Plan Claims Processing
DescriptionSummary:The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Responsibilities:? Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.? Analyze medical claim information and take appropriate action for payment resolutio


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