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Claims Adjustment Analyst II
JOB SUMMARY: The Claims Adjustment Analyst II supports the review and resolution of complex level payment disputes including corrected claims; retro authorizations, incorrect denial requests, reconsiderations and provider payment appeals in a timely manner. This position is responsible for processing medical and dental claims, using industry standard practices for medical claims processing. The Claims Adjustment Analyst II applies relevant rules and regulations specific to coding, providers, plan benefits, contracts, state and federal guidelines as well as Community Health Choice?s policies and procedures. MINIMUM QUALIFICATIONS:1. Education/Specialized Training/Licensure: Hi
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