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* Collaborate with all members of the department. * Convert materials from the Trainers into eLearning content, delivered through the LMS. * Create...
ollect, verify, and enter claimant data and case information.Assist Nurse Case Reviewers with non-clinical issues.Data entry of required case...
* Collect, verify, and enter claimant data and case information. * Assist Nurse Case Reviewers with non-clinical issues. * Data entry of required...
* Thorough review of claims and medical documentation. * Prepare cases for clinical review. * Advanced claim processing including professional...
* Research and document pertinent information on claims requiring adjudication. Apply medical policy, contractual provisions, and operational...
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