Medicare Full-Risk Claims Specialist
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Hill Physicians Medical Group in San Ramon, CA is seeking a Full Risk Claims Specialist to process Medicare Advantage claims across multiple lines. The role requires deep knowledge of MS DRG inpatient, ASC, home health care, DME, and related coding and pricing rules. You will adjudicate claims on Epic Tapestry, ensure accuracy, and respond to complex disputes while maintaining high productivity and compliance with CMS and DMHC guidelines. #J-18808-Ljbffr Jobfu
Vacancy posted 5 days ago
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