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Medical Claims Jobs in Columbia

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Search Results - Medical Claims Jobs in Columbia
Hornet Staffing-Columbia
or clinical guidelines. Provides support and review of medical claims and utilization practices. 80% May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable...
resume-library.com -
US Tech Solutions-Columbia
sets or clinical guidelines. Provides support and review of medical claims and utilization practices. May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes...
mindmatch.ai -
Paladin Consulting, Inc-Columbia
support and review of medical claims and utilization practices. 70% Performs medical claim reviews for one or more of the following: claims for medically complex services, services that require preauthorization/predetermination, requests for appeal...
resume-library.com -
Experis-Columbia
and guidelines.  •  Review medical claims and determine reasonable charge payments.  •  Ensure authorization of medical services based on benefit guidelines.  •  Review interdepartmental requests for medical information to support utilization processes.  •  Conduct...
US Tech Solutions, Inc.-Columbia
using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim...
resume-library.com -
Experis-Columbia
and provide support and review of medical claims and utilization practices.  •  Educate internal/external staff regarding medical reviews, medical terminology, coverage determinations, and coding procedures.  •  Participate in quality control activities...

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