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... broad understanding of managed care, medical billing and clinical program development to ... for Medicare Trend, Formulary and Medical Strategies, Clinical Program Operations and ... trend analysis Previous experience..
... LTC hospice patients; reconcile historic billing issues. Essential Duties and Responsibilities: ... but are not limited to): Billing: Assist pharmacies with claims adjudication ... standard/custom formularies Understand formulary and..
JOB SUMMARY: Responsible for coordinating the approval processes and conduct of research protocols, assuring that the integrity and quality of the research is maintained and that the research is conducted in ..
JOB SUMMARY: With guidance and training, is responsible for coordinating the approval processes and conduct of research protocols, such that the integrity and quality of the clinical/translational research is maintained and ..
Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer ..