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Online Resumes with "DOFR"
Sr. Medical/Workers Comp Specialist
Seasoned healthcare professional with over 20 years with extensive and comprehensive collections and billing experience with a proven & consistent track record of high dollars negotiations and collecting. Highly knowledgeable with payer contract terms & language. Direct involvement with capitation, risk pools, encounter data requirements as well IPA's (gatekeeper and non gatekeeper)DOFR's. Also well trained in Workers Comp...
Billing/Coding Specialist - 4 Years of Experience - Near 78242
at Position Description: Reviewing claims working off project list or work queue. Responsible for providing expertise or general support in reviewing, researching. Experience in a production based environment with an emphasis on quality outcomes. Primary Resposabilities: * Reviewing and adjudicating medical claims in accordance with CMS claim processing guidelines. * Processing claims Up to 50K * Provide expertise claims su...
Tags for this Online Resume: Microsoft, Microsoft Outlook, Services, Adobe, Audit, Banking Industry, Benefits, Billing, Call Center, Cardiopulmonary resuscitation (CPR)
Claims Adjuster
Tags for this Online Resume: Policies and Procedures, Audit, Complaints, Crystal Reports, Services, Code Review, Coding, CSC, Deductions, Quality
