Senior Healthcare Claims Examiner: Complex Adjudication
Provider Network Solutions LLC
Provider Network Solutions LLC seeks a Claims Examiner III to process electronic claims, verify filing procedures, and apply coding and guidelines to ensure compliant submissions. The role includes adjudicating complex claims, applying medical necessity guidelines, performing pre-payment audits, and staying updated on CMS changes and HIPAA compliance within a fast-paced environment. Strong analytical skills, proficiency with Microsoft Office, and experience with systems processing are essential, #J-18808-Ljbffr Provider Network Solutions LLC
Vacancy posted 3 days ago
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