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Vanderbilt Health

Nashville, Tennessee

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University of Maryland Medical System

Baltimore, Maryland

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Raleigh, North Carolina

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AdventHealth

Altamonte Springs, Florida

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Portland, Oregon

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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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Orlando, Florida

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Vanderbilt Health

Nashville, Tennessee

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Altamonte Springs, Florida

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Vanderbilt Health

Nashville, Tennessee

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St. Luke's Health System

Boise, Idaho

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Baylor Scott & White Health

Dallas, Texas

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Durham, North Carolina

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Durham, North Carolina

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Temple, Texas

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Boise, Idaho

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Orlando, Florida

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AdventHealth

Orlando, Florida

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University of Maryland Medical System

Baltimore, Maryland

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Fred Hutchinson Cancer Center

Seattle, Washington

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Vanderbilt Health

Nashville, Tennessee

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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 immediately following a benefit / payment determination. Maintains confidentiality rules in compliance with HIPPA guidelines.Works claims inventory from assigned queues to ensure all claims are processed within established turnaround time


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