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High-Dollar Claims & DRG Integrity Specialist

Brighton Health Plan Solutions, LLC

Brighton Health Plan Solutions, LLC is seeking a High Dollar Specialist to review high dollar claims for accurate billing, pricing and adjudication, supporting the Quality Department and coordinating with internal and external stakeholders. The role requires expertise in DRGs, hospital billing, and drug reimbursement methods, with strong communication, organization, and independent work abilities. #J-18808-Ljbffr Brighton Health Plan Solutions, LLC

Vacancy posted 3 days ago
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