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Vice President of Medical Group (VPMG)
University Medical Partners | Stanford Medicine

San Francisco Bay Area, California

ASC Manager
Pinehurst Medical Clinic

Sanford, North Carolina

AMGA (American Medical Group Association) Logo
Research Scientist
AMGA (American Medical Group Association)

Alexandria, Virginia

BJC HealthCare Logo
ARCHITECT, SOLUTIONS - SR
BJC HealthCare

Saint Louis, Missouri

NEW!
Cincinnati Children's Hospital Medical Center Logo
Employee Relations Generalist, HR
Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio

NEW!
Optum Logo
Associate Medical Director - Austin, TX
Optum

Austin, Texas

NEW!
Foundation Health Partners Logo
Sr. Billing Representative - Denali Center
Foundation Health Partners

Fairbanks, Alaska

NEW!
Cincinnati Children's Hospital Medical Center Logo
Employee Relations HR Consultant
Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio

NEW!
Optum Logo
Physician Pod Leader Home Visits - Louisville or Lexington, KY
Optum

Louisville, Kentucky

NEW!
AdventHealth Logo
Health Plan Data Analyst
AdventHealth

Altamonte Springs, Florida

NEW!
BJC HealthCare Logo
Customer Service Rep II
BJC HealthCare

Saint Louis, Missouri

NEW!
CHRISTUS Health Logo
Chaplain II - Pastoral Care
CHRISTUS Health

Corpus Christi, Texas

NEW!
AdventHealth Logo
Leukemia Service Navigator
AdventHealth

Orlando, Florida

NEW!
AdventHealth Logo
Academic Strategist
AdventHealth

Altamonte Springs, Florida

NEW!
Beebe Healthcare Logo
RAC BILLER II - BUSINESS SERVICES
Beebe Healthcare

Lewes, Delaware

NEW!
Baylor Scott & White Health Logo
Configuration Provider Specialist
Baylor Scott & White Health

Remote,

NEW!
City of Hope National Medical Center Logo
City of Hope Medical Group Seeks an Anesthesiologist to Join Our Duarte Team
City of Hope National Medical Center

Los Angeles, California

NEW!
Beebe Healthcare Logo
DENIALS MANAGEMENT SPECIALIST - BUSINESS SERVICES
Beebe Healthcare

Lewes, Delaware

NEW!
AdventHealth Logo
Quality Manager
AdventHealth

Hendersonville, North Carolina

NEW!
AdventHealth Logo
Inventory Control Par Tech Clin Mtls
AdventHealth

Winter Park, Florida

NEW!
Optum Logo
Primary Care Float Physician - Optum - Tampa, FL
Optum

Tampa, Florida

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

Ohio

NEW!
Cincinnati Children's Hospital Medical Center Logo
Neurology - Assistant Professor
Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio

NEW!
Trinity Health Logo
Allergy & Immunology Opportunity
Trinity Health

Mason City, Iowa

NEW!
WMCHealth Logo
Revenue Integrity Analyst RN
WMCHealth

Montebello, New York

NEW!
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Claims Adjustment Anlst
JOB SUMMARYThe Claims Adjustment Analyst performs extensive reviews on member or provider claim issues to determine root cause analysis. Researches and investigates previously paid or denied claims to correctly apply benefit determination and pricing in accordance with claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLEPerforms extensive reviews on member or provider claim issues to determine root cause analysis. Documents, tracks, resolves and reports findings. Provides expert assistance to other staff, members and providers by researching and resolving claims payment issues resulting from configuration or processing errors. Follows up with appropriate department


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