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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!NEW! NEW!Northwest Permanente, Kaiser Permanente NorthwestPortland, Oregon
NEW! NEW!NEW! NEW!NEW! NEW!Valley Children's HealthcareMadera, California
NEW! NEW!Foundation Health PartnersFairbanks, Alaska
NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!Benefis Health SystemHelena, Montana
NEW! NEW!Northwest Permanente, Kaiser Permanente NorthwestPortland, Oregon
NEW! NEW!NEW! NEW!Veterans Affairs, Veterans Health AdministrationColumbia, Missouri, Missouri
NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!NEW! NEW!Loading... Please wait.Claims Adjustment AnlstJOB 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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