The Oncology Claims Analyst 1 will coordinate coding audits and educational functions for FMOLHS and the Oncology Service Line. This individual will be responsible for drug authorizations, managing and working the edit and denial coding work queues for inpatient,
Oncology Claims Analyst 1 The Oncology Claims Analyst 1 will coordinate coding audits and educational functions for FMOLHS and the Oncology Service Line. This individual will be responsible for drug authorizations, managing and working the edit and denial coding work
Job Summary Responds to provider, health plan, and member phone calls and correspondence related to the coordination of benefits between Medicaid and other primary insurance sources. Investigates billing and payment issues including but not limited to
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Job Title Develop a case based on a complaint and/or data profile while identifying the initial billing problem(s) related to medical and non-medical care programs. Research and analyze all reports and other evidence obtained to determine
Essential Duties and Responsibilities: - Complete cost allocation plans for assigned clients. - Obtain contract renewals for multiple clients. - Manage relationships with multiple clients as well as project staff responsible for projects. - Support leadership