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Job Seekers, Welcome to NQF Quality CareersActive Advanced Search Filters: (Click to remove)Search FiltersUse this area to filter your search results. Each filter option allows for multiple selections.NEW! NEW!NEW! NEW!Duke University Health SystemDurham, North Carolina
NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!Duke University Health SystemDurham, North Carolina
NEW! NEW!WakeMed Health & HospitalsRaleigh, North Carolina
NEW! NEW!Memorial Sloan Kettering Cancer CenterNew York, New York
NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!Loading... Please wait.Claims Adjustment Analyst - HybridJOB SUMMARYThe Claims Adjustment Analyst performs extensive reviews on member or provider claim issues to determine root cause analysis. Researches and investigates previously paid or denied claims to correctly apply benefit determination and pricing in accordance with claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLEPerforms extensive reviews on member or provider claim issues to determine root cause analysis. Documents, tracks, resolves and reports findings. Provides expert assistance to other staff, members and providers by researching and resolving claims payment issues resulting from configuration or processing errors. Follows up with appropriate department
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