Overview: To support the Claims Department in maintaining pended claims and claim adjustments within established... guidelines. Reviews and processes complex claims, and supports claims examining. Responsibilities: Researches and processes...
Overview: Under the direction of the Cost Avoidance Supervisor, the Cost Avoidance Specialist I monitors activities...), updates system and recovers overpayment, and researches and validates provider refund checks. The Cost Avoidance Specialist...
retrospective audits of Configuration Analyst I and Configuration Specialist staff Perform concurrent audits of Configuration... Analyst I and Configuration Specialist staff Perform monthly retrospective audits of system configuration Provides feedback...
all benefit designs and ensure successful configuration, integration, and accurate and timely payment of claims... Specialist functions. Qualifications: Education and Experience Bachelor’s degree in a technical field preferred. Two (2...
all benefit designs and ensure successful configuration, integration, and accurate and timely payment of claims... Specialist functions. Qualifications: Education and Experience Bachelor’s degree in a technical field preferred. Two (2...