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Claims Examiner - Managed Care
Job DescriptionThe Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and guidelines as outlined by the company policy. Process claims according to all CMS and DMHC guidelines. Investigate and complete open or pended claims. Meet production and quality standards.Job Duties and Responsibilities: Responsible for efficiency standards for number claims completed and for accuracy of entries. Handles in a professional and confidential manner all correspondence. Supports core values, policies, and procedures. Acquires and adjudicates
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