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SpringWorks Therapeutics

Nationwide

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Duke University Health System

Durham, North Carolina

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Duke University Health System

Durham, North Carolina

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Memorial Sloan Kettering Cancer Center

New York, New York

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Banner Health

Sun City West, Arizona

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Duke University Health System

Durham, North Carolina

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Banner Health

Fort Collins, Colorado

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CHRISTUS Health

Irving, Texas

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San Francisco, California

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Banner Health

Phoenix, Arizona

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Banner Health

Gilbert, Arizona

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Mary Washington Healthcare

Fredericksburg, Virginia

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Banner Health

Scottsdale, Arizona

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Cook County Health

Chicago, Illinois

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Harris Health System

Houston, Texas

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Memorial Sloan Kettering Cancer Center

New York, New York

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Claims Refund/Recovery Analyst - Remote or On-Site
JOB SUMMARYThe Claims Analyst is responsible for claims processing, research and adjudication to correctly apply benefit determination and pricing for areas of responsibility to include clinic professional claims, hospital and facility inpatient and outpatient claims, and Rx-drug claims (CMS 1500 and UB04), in accordance with claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLEProcesses and adjusts professional and facility claims including, but not limited to, transplant, special handle, negotiations, and MSO according to claims processing guidelines. Maintains confidentiality rules in compliance with HIPPA guidelines.Pends claims as directed by departmental p


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