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Manage Care Specialist- Business Office
Location:
Vernon, TX
Description:
Job Summary: Performs duties pertaining to insurance, Medicare and Medicaid claims. Process insurance claims in accordance with departmental policy. Will review and research claims in accordance with departmental policy. Will review and research claims in accordance to contracts and policy. Will correct claims as needed. Will gather additional claim information as appropriate. Will adjudicate claims as needed. Will follow-up on suspended claims, resolve coordination of benefit issues, and general inquiry issues. Will appeal claims as appropriate . Job Qualifications: A. Education: Associate degree or higher preferred. B. Personal Job-Related Skills: Familiar with operating personal computers, familiar with Medicare and Medicaid claim processing procedures. C Licensure, Registry or Certification: BLS required. CPI required. D. Experience: 1. Prior work experience: Previous managed care experience and insurance background preferred. Job Posted by ApplicantPro
Company:
Wilbarger General Hospital
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Manage Care Specialist- Business Office
Manage Care Specialist- Business Office is a Clerical Office Administrator Job at Wilbarger General Hospital located in Vernon TX. Find other listings like Manage Care Specialist- Business Office by searching Oodle for Clerical Office Administrator Jobs.
Manage Care Specialist- Business Office is a Clerical Office Administrator Job at Wilbarger General Hospital located in Vernon TX. Find other listings like Manage Care Specialist- Business Office by searching Oodle for Clerical Office Administrator Jobs.