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AdventHealth Greater Orlando

Altamonte Springs, Florida

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WakeMed Health & Hospitals

Raleigh, North Carolina

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Children's Minnesota

MN and WI Remote, Minnesota

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Harris Health System

Houston, Texas

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Duke University Health System

Durham, North Carolina

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AdventHealth Greater Orlando

Tampa, Florida

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St. Luke's Health System

Boise, Idaho

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AdventHealth Greater Orlando

Tampa, Florida

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AdventHealth Greater Orlando

Sebring, Florida

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Duke University Health System

Durham, North Carolina

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Duke University Health System

Durham, North Carolina

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Duke University Health System

Raleigh, North Carolina

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Duke University Health System

Durham, North Carolina

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AdventHealth Greater Orlando

Altamonte Springs, Florida

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AdventHealth Greater Orlando

Winter Park, Florida

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BJC HealthCare

Saint Louis, Missouri

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University of Maryland Medical System

Linthicum Heights, Maryland

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Duke University Health System

Durham, North Carolina

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AdventHealth Greater Orlando

Altamonte Springs, Florida

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AdventHealth Greater Orlando

Maitland, Florida

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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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Duke University Health System

Durham, North Carolina

Duke University Health System Logo
Duke University Health System

Durham, North Carolina

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Claims Anlst
JOB SUMMARY The Claims Analyst is accountable for claims processing, research and adjudication to correctly apply benefit determination and pricing for areas of responsibility to include clinic professional claims, hospital and facility inpatient and outpatient claims, and Rx-drug claims (CMS 1500 and UB04), by claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLE Processes and adjusts professional and facility claims including, but not limited to, transplant, special handle, negotiations, and MSO according to claims processing guidelines. Maintains confidentiality rules in compliance with HIPPA guidelines.Pends claims as directed by departmental policies and procedures; follows up for resolution and processes pe


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