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WMC Health

Suffern, New York

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WMC Health

Suffern, New York

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Veterans Affairs, Veterans Health Administration

Fayetteville, Arkansas

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Optum

Phoenix, Arizona

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RWJBarnabas Health

New Brunswick , New Jersey

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Veterans Affairs, Veterans Health Administration

Lexington, Kentucky

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Optum

Franklin, Indiana

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Veterans Affairs, Veterans Health Administration

Saint Louis, Missouri

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CareMount Medical

Katonah, New York

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Optum

O Fallon, Missouri

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Harry S. Truman Memorial Veterans' Hospital (VA)

Columbia, Missouri

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Optum

Arlington, Virginia

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BJC HealthCare

Shiloh, Illinois

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BJC HealthCare

Belleville, Illinois

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CareMount Medical

Katonah, New York

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Optum

Detroit, Michigan

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New Castle, Delaware

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SCL Health

Billings, Montana

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CareMount Medical

Poughkeepsie, New York

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Baylor Scott & White Health

TEMPLE, Texas

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Pharmacy Billing Adjudicator
Job DescriptionAs the Pharmacy Billing Adjudicator for our Long Term Care business, you will be responsible for preparing and submitting claims for accounts. You will work directly with nursing facility staff, physician offices, and insurance companies to ensure timely payment of online claim submissions. You will also be responsible for reviewing and researching rejected third party claims, and problem solving to take appropriate action to resolve them.Additional key responsibilities include:- Working a backlog of rejected claims for timely resubmission- Managing your assigned queues to keep current on all claims- Clearing the workflow grid daily in order to meet productivity criteria- Handling specific denials including new patient overrides- Follo


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