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Oregon Coalition of Local Health Officials

Portland, Oregon

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DMC Harper University/Hutzel Women's Hospital

Detroit, Michigan

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Mary Washington Healthcare

King George, Virginia

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Banner Health

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Encompass Health

Jacksonville, Florida

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Conifer Health Solutions

Frisco, Texas

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Mary Washington Healthcare

Fredericksburg, Virginia

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Baylor Scott & White Health

TEMPLE, Texas

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Duke University Health System

Durham, North Carolina

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Kaiser Permanente - Washington Permanente Medical Group

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Baylor Scott & White Health

TEMPLE, Texas

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Conifer Health Solutions

Frisco, Texas

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Chandler, Arizona

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Frisco, Texas

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Fredericksburg, Virginia

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WALGREENS

Mannington, West Virginia

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Baylor Scott & White Health

Bee Cave, Texas

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WALGREENS

Sun City Center, Florida

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Baylor Scott & White Health

Lago Vista, Texas

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DMC Children's Hospital of Michigan

Detroit, Michigan

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Fairview Health Services

Minneapolis, Minnesota

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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-


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