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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

Vacancy posted 5 days ago
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