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Baylor Scott & White Health

Austin, Texas

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Geisinger

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Biolife Plasma Services

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Community Medical Centers Inc.

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Biolife Plasma Services

Broken Arrow, Oklahoma

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Geisinger

State College, Pennsylvania

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Biolife Plasma Services

Hayden, Idaho

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Baylor Scott & White Health

Roanoke, Texas

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Community Medical Centers Inc.

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Baylor Scott & White Health

Georgetown, Texas

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Valhalla, New York

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Georgetown, Texas

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TEMPLE, Texas

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Baylor Scott & White Health

Grapevine, Texas

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Baylor Scott & White Health

Austin, Texas

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UNM Hospital

Albuquerque, New Mexico

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Nashville, Tennessee

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Midlothian, Texas

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Penn State Health

Hershey, Pennsylvania

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Geisinger

Danville, Pennsylvania

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Danville, Pennsylvania

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Claims Examiner Austin
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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