Responsible for managing, reviewing, researching, and paying claims in a timely manner while maintaining a set production and quality standards, researching and updating providers contracts for claim payment, pay closed/denied and zero paid claims for simple adjustment, send letters to providers and members requesting further information to complete claim processing, route and refer claims via ors to various departments for further review by medical nurses, complex adjustments, eligibility, foreign escalated claims, or team leaders for payment or instructions for payment. Work overtime to support teams with their work load backlogs...
Posted @ 08:51PM, August 29, 2007
by Voncenia Cole | Permalink
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