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Baylor Scott & White Health

Plano, Texas

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Cook County Health

Chicago, Illinois

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Baylor Scott & White Health

TEMPLE, Texas

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Fairview Health Services

Saint Paul, Minnesota

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San Diego, California

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MemorialCare Health System

Fountain Valley, California

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Baylor Scott & White Health

Waxahachie, Texas

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ChristianaCare Health System

Wilmington, Delaware

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Fairview Health Services

Saint Paul, Minnesota

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Kindred Healthcare

Indianapolis, Indiana

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Kindred Healthcare

St. Louis, Missouri

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Fairview Health Services

Minneapolis, Minnesota

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AdventHealth

Altamonte Springs, Florida

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Vanderbilt Health

Nashville, Tennessee

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Northwest Permanente, Kaiser Permanente Northwest

Portland Metro Area, Oregon

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UNM Hospital

Albuquerque, New Mexico

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Fairview Health Services

Minneapolis, Minnesota

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AdventHealth

Altamonte Springs, Florida

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Vanderbilt Health

Nashville, Tennessee

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Veterans Affairs, Veterans Health Administration

Long Beach, California

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Baylor Scott & White Health

Killeen, Texas

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AdventHealth

Altamonte Springs, Florida

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Root Claims Analyst
JOB SUMMARYThe Claims Analyst is responsible 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), in accordance with claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLEProcesses 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 p


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