Claims Examiner Senior - Health Plan Admin in Irving, TX for CHRISTUS Health

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Managed Care Pharmacist - Blue Cross Blue Shield of Wyoming

Blue Cross Blue Shield of Wyoming

Cheyenne, Wyoming

Patient Services Associate Float & Non Float Full Time Positions !

Pediatrix Medical Group

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Registered Nurse RN - Critical Care - Resource Pool - PRN - Nights

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Registered Nurse RN - STICU - PRN B

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Medical Director - Physician - MD/DO - Primary Care

SSM Health

Madison, Wisconsin

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Pediatrix Medical Group

Grapevine, TX, USA

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Registered Nurse RN - GI/Renal - PT Nights

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Gainesville, Georgia

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RN-Staff Part Time Imaging Center

Northeast Georgia Health System

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LEXINGTON, Kentucky

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Electrophysiologist

CommonSpirit Health

LEXINGTON, Kentucky

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Registered Nurse - RN - Rehab - Long Term Care - New Horizons Limestone - Full Time - Nights

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Gainesville, Georgia

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Neurologist

CommonSpirit Health

LONDON, Kentucky

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Licensed Practical Nurse - Acute MedSurgical A - Full Time

CHRISTUS Health

Coushatta, Louisiana

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Medical Reimbursement Specialist

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Patient Services Representative - Internal Medicine, Westwood

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Los Angeles, California

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Patient Services Associate

Pediatrix Medical Group

Mckinney, TX, USA

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Oncologist

CommonSpirit Health

CORBIN, Kentucky

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Oncologist

CommonSpirit Health

LONDON, Kentucky

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Collections Specialist - Patient Financial Services

CHRISTUS Health

Alamogordo, New Mexico

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Chief Operating Officer

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New Haven, Connecticut

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Patient Services Associate (Temporary) 90 Days

Pediatrix Medical Group

Lawrenceville, GA, USA

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Patient Service Representative - Primary & Specialty Care, Santa Barbara

UCLA

Santa Barbara, California

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Claims Examiner Senior - Health Plan Admin

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 resolution in accord

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