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Harris Health System

Houston, Texas

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Harris Health System

Houston, Texas

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Harris Health System

Houston, Texas

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Duke University Health System

Durham, North Carolina

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CHRISTUS Health

Alamogordo, New Mexico

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Harris Health System

Houston, Texas

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Baylor Scott & White Health

Dallas, Texas

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Duke University Health System

Wake Forest, North Carolina

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CHRISTUS Health

Alamogordo, New Mexico

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Harris Health System

Houston, Texas

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Baylor Scott & White Health

Plano, Texas

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WMCHealth

Valhalla, New York

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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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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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Duke University Health System

Durham, North Carolina

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University of Maryland Medical System

Linthicum Heights, Maryland

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Duke University Health System

Raleigh, 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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Duke University Health System

Durham, North Carolina

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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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