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Medical University of South Carolina

Charleston , South Carolina

Memorial Sloan Kettering Cancer Center Logo
Memorial Sloan Kettering Cancer Center

New York, New York

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Baylor Scott & White Health

TEMPLE, Texas

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Penn State Health

Hershey, Pennsylvania

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Baylor Scott & White Health

TEMPLE, Texas

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Harris Health System

Houston, Texas

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CHRISTUS Health

Irving, Texas

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Vanderbilt Health

Nashville, Tennessee

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Hazel Hawkins Memorial Hospital

Hollister, California

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Vanderbilt Health

Nashville, Tennessee

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CHRISTUS Health

Irving, Texas

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ChristianaCare Health System

Wilmington, Delaware

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Vanderbilt Health

Nashville, Tennessee

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Phoenix Children's Hospital

Phoenix, Arizona

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MemorialCare Health System

Fountain Valley, California

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Duke University Health System

Durham, North Carolina

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UNM Hospital

Albuquerque, New Mexico

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ChristianaCare Health System

Wilmington, Delaware

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Vanderbilt Health

Nashville, Tennessee

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UNM Hospital

Albuquerque, New Mexico

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AdventHealth

Altamonte Springs, Florida

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AdventHealth

Altamonte Springs, Florida

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Akron Children's Hospital

Akron, Ohio

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Akron Children's Hospital

Akron, Ohio

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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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