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Medical Biller, Coder And Claims Examiner!

Medical Biller, Coder And Claims Examiner!

Posted by Linda Anderson
Posting ads for 7 years
Responsible to:A. Adjudicate Medicare and Senior Advantage claims for payment based on ICD-9 pay rules.B. Contact providers and hospitals as needed to clarify bills and verify accuracy of procedure codes.C. Verify member benefits and eligibility and manage coordination of benefits with other plans.D. Determine payments according to RVRVS fee schedule, and adjust incorrectly paid bills.E. Input ICD-9 codes, provider notes, member information, explanations, tracking information.F. Update vendor/provider information, and forward bills to utilization review nurses.
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