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Duke University Health System Logo
Duke University Health System

Durham, North Carolina

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Duke University Health System Logo
Duke University Health System

Durham, North Carolina

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Beebe Healthcare Logo
Beebe Healthcare

Lewes, Delaware

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Baylor Scott & White Health Logo
Baylor Scott & White Health

Temple, Texas

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BJC HealthCare Logo
BJC HealthCare

Saint Louis, Missouri

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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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Foundation Health Partners Logo
Foundation Health Partners

Fairbanks, Alaska

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Akron Children's Hospital Logo
Akron Children's Hospital

Akron, Ohio

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AdventHealth Logo
AdventHealth

Altamonte Springs, Florida

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Memorial Sloan Kettering Cancer Center Logo
Memorial Sloan Kettering Cancer Center

New York, New York

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CHRISTUS Health

Santa Fe, New Mexico

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Yuma Regional Medical Center

Yuma, Arizona

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Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

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Baylor Scott & White Health Logo
Baylor Scott & White Health

Temple, Texas

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Duke University Health System Logo
Duke University Health System

Durham, North Carolina

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AdventHealth Logo
AdventHealth

CLARENDON HILLS, Illinois

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Baylor Scott & White Health Logo
Baylor Scott & White Health

Waxahachie, Texas

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AdventHealth

Maitland, Florida

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Sonic Healthcare USA

Rye Brook, New York

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Beebe Healthcare Logo
Beebe Healthcare

Lewes, Delaware

Baylor Scott & White Health Logo
Baylor Scott & White Health

Temple, Texas

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Claims Examiner
JOB SUMMARYThe Claims Examiner is responsible for claims processing, research and adjudication to correctly apply benefit determinations on routine medical claims (CMS 1500 and UB04) and Rx claims in accordance with claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLEProcesses and adjusts routine professional, facility and Rx claims according to claims processing guidelines. Pends claims as directed by departmental policies and procedures, follows up for resolution, and processes pended claims immed


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