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Yale New Haven Health - Northeast Medical Group

Trumbull, Connecticut

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BANNER UNIVERSITY MEDICAL CENTER - TUCSON (BUMC-T)

Tucson, Arizona

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NHPCO

Alexandria, Virginia

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WMC Health

Suffern, New York

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MultiCare Health System

Tacoma, Washington

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WMC Health

Suffern, New York

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WMC Health

Port Jervis, New York

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Veterans Affairs, Veterans Health Administration

Bay Pines, Florida

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Banner Health

Sun City West, Arizona

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Veterans Affairs, Veterans Health Administration

Des Moines, Iowa

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WMC Health

Port Jervis, New York

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Providence

Portland, Oregon

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WMC Health

Suffern, New York

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WMC Health

Warwick, New York

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CareRev

Oak Lawn, Illinois

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CareRev

Hyde Park, Illinois

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CareRev

Englewood, Illinois

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Banner Health

Mesa, Arizona

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Baylor Scott & White Health

waco, Texas

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CareMount Medical

Poughkeepsie, New York

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CareRev

Whiting, Illinois

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CareRev

South Deering, Illinois

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CareRev

Elmwood Park, Illinois

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WMC Health

Suffern, New York

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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- Follo


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