’s and medical justification to facilitate payment of claims for initial and review/appeals payments. Ability to edit and resubmit... claims for payment. Prepares and reviews clean claims for submission to various insurances either electronically or y paper...
, reserving, negotiating and resolving assigned General Liability - Public Sector claims. Provides quality claim handling... and our business partners. This job does not manage staff. What Will You Do? Directly handles assigned severity claims. Provides...
: Review history (e.g., patient charts, claims) of VBC patients with significant utilization and costs. Assess each patient... and provide a comprehensive summary of all patient reviews and recommendations. Work closely with VBC Clinical Program Manager...