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Memorial Sloan Kettering Cancer Center
New York, New York
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New York, New York
Director, Ambulatory Care Pharmacy Services, University of Illinois Chicago, UI Health, College of P
University of Illinois Chicago (Department of Pharmacy Practice)
Chicago , Illinois
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Duke University Health System
Durham, North Carolina
Duke University Health System
Durham, North Carolina
Duke University Health System
Durham, North Carolina
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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,
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