Senior Healthcare Claims Examiner: Complex Adjudication
Provider Network Solutions LLC
Provider Network Solutions LLC in Florida is seeking a Claims Examiner III to process electronic claims, ensure proper filing procedures, and apply guidelines, coding, and pre-coding requirements. You will adjudicate complex claims, verify eligibility, apply medical necessity guidelines, and support accurate payments while staying current with CMS changes and HIPAA requirements. The role requires strong Microsoft Office skills and experience with claims systems. #J-18808-Ljbffr Provider Network Solutions LLC
- Description Position Summary The Claims Examiner III is responsible for processing submitted electronic claims to ensure proper filing... ...are met to support accurate claims payments. Analyze and adjudicate complex claims that cannot be auto adjudicated. Adjudicate claims...SuggestedWork at office
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