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Remote High-Dollar Claims Auditor

Brighton Health Plan Solutions

Chapel Hill, NC
  • Remote job

Brighton Health Plan Solutions is seeking a High Dollar Specialist to review high dollar claims for accurate billing, pricing and adjudication. This remote role involves interacting with many internal and external stakeholders to help ensure quality and compliance in the claims process. You will review pricing, pricing implants and supply charges, DRG accuracy, and related charges; develop reporting to track high dollar claims; and collaborate with the CMO, Legal and external vendors as needed. #J-18808-Ljbffr Brighton Health Plan Solutions

Vacancy posted 2 days ago
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