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Memorial Hospital of Lafayette County

Darlington, Wisconsin

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St. Charles Health System

Bend, Oregon

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Penn State Health

Hershey, Pennsylvania

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Duke University Health System

Raleigh, North Carolina

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AdventHealth Greater Orlando

Orlando, Florida

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AdventHealth Greater Orlando

Dade City, Florida

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Baylor Scott & White Health

Waxahachie, Texas

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Baylor Scott & White Health

Temple, Texas

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Baylor Scott & White Health

Temple, Texas

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CHRISTUS Health

Tyler, Texas

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Duke University Health System

Raleigh, North Carolina

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CHRISTUS Health

Irving, Texas

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Duke University Health System

Raleigh, North Carolina

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Denver Health

Denver, Colorado

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Baylor Scott & White Health

Killeen, Texas

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CHRISTUS Health

San Antonio, Texas

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Baylor Scott & White Health

Dallas, Texas

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AdventHealth Greater Orlando

Dade City, Florida

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Veterans Affairs, Veterans Health Administration

Roseburg, Oregon

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Baylor Scott & White Health

Dallas, Texas

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Baylor Scott & White Health

Temple, Texas

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Baylor Scott & White Health

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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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