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사무직 구함 | 라디오코리아 - 커뮤니티

사무직 구함 | 라디오코리아 - 커뮤니티
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Medical Claims Processor

Medical Claims Processor
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International Classification Diagnosis , Third Party Liability , Medical Claims Processor , Microsoft Word , Timelines Standards , Medical Terminology , Revenue Codes , Condition Codes , Procedure Codes , Medical Claims Experience , Third Party , சர்வதேச வகைப்பாடு நோயறிதல் , மூன்றாவது கட்சி பொறுப்பு , மைக்ரோசாஃப்ட் சொல் , மருத்துவ சொல் , வருவாய் குறியீடுகள் , நிலை குறியீடுகள் , ப்ரொஸீஜர் குறியீடுகள் , மூன்றாவது கட்சி ,

Medical Claims Processor

Medical Claims Processor
지역
Description
and regulatory turn-around time and quality standards
• Reviews claims and makes payment/adjustment determination to ensure all components (i.e. member, provider, authorization, claim, and system) are valid and correct for accurate processing
• Conducts research regarding claim completion and appropriateness; identifies errors and takes necessary actions to resolve claims
• Manages work to meet regulatory guidelines
Responsibilities and Duties
• Review claims and makes payment determination
• Review and evaluates claims for proper and correct information including correct member, provider, authorization, and billing information on which to base payment determination
• Refers to eligibility, authorization, benefit, and pricing information to determine appropriate course of action ....

International Classification Diagnosis , Third Party Liability , Medical Claims Processor , Microsoft Word , Timelines Standards , Medical Terminology , Revenue Codes , Condition Codes , Procedure Codes , Medical Claims Experience , Third Party , சர்வதேச வகைப்பாடு நோயறிதல் , மூன்றாவது கட்சி பொறுப்பு , மைக்ரோசாஃப்ட் சொல் , மருத்துவ சொல் , வருவாய் குறியீடுகள் , நிலை குறியீடுகள் , ப்ரொஸீஜர் குறியீடுகள் , மூன்றாவது கட்சி ,