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Reimbursement Integrity Analyst
This position will assist the Enterprise Reimbursement Integrity Manager of the Nemours Central Business Office in the resolution of Managed Care contractual disputes for all Nemours Enterprise affiliated entities. This position, under the direction of the Enterprise Revenue Integrity Manager, will ensure accurate and timely payments from third party payors in compliance with Managed Care contracts and Government fee schedules. This position will review trends and third-party payments, comparing actual payments to Managed Care contract reimbursement schedules and government payor fee schedules. The Enterprise Reimbursement Integrity Analyst will prepare relevant reports for management review and facilitate the resolution of under/over payment issues as well as
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