• Certified Correct Claims

    Insight Global (Morristown, NJ)
    Job Description The Certified Corrected Claim Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, ... multi-specialty provider claims to identify and determine appropriately coded billed services...when compared to the Zelis Claim Edits Product. The Certified Corrected Claim Resolution Analyst is responsible… more
    Insight Global (10/04/24)
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  • Claims Specialist

    CenterLight Health System (Flushing, NY)
    …for provider education and/or system (re)configuration. Initiates and follows through with resolution of all pended claims , (re)pricing, returned or refund ... JOB PURPOSE: The Claims Specialist will support department operations related to...trends to determine root causes. Proposes workflow changes to correct and enhance claim processes to prevent returned checks/refunds… more
    CenterLight Health System (10/15/24)
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  • Pharmacy Manager

    Walgreens (New York, NY)
    …technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient ... services + Partners with centralized support for patient registration, exception resolution , and assists with resolving patient issues. In virtual environments,… more
    Walgreens (08/21/24)
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