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WakeMed Health & Hospitals
Raleigh, North Carolina
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Conifer Health Solutions
Frisco, Texas
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Claims Auditor
The Claims Auditor performs claims audits based on the audit program and specified target audits as assigned.Responsible for ensuring the accuracy of claims payments with the application of managed care contracts, as well as reimbursement calculation of applicable fee schedules for non-contracted claims. Identifies underpayments/overpayments and generates periodic reports to quantify amounts detected through the audit process.
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