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Claims Research Specialist II

Company: Centene Coproration
Location: Baton Rouge
Posted on: January 15, 2020

Job Description:

Description: Position Purpose: Assist in reviewing investigating, adjusting and resolving complex claims, claims appeals, inquiries, and inaccuracies in payment of claims. Also, responsible for training claims research specialists and CG & A coordinators also providing claims and authorization education to the appeals nurse. Complete claims related research projects Initiate entry or change of provider related database information Assist in reviewing investigating, adjusting and resolving complex claims, claims appeals, inquiries, and inaccuracies in payment of claims Provide training and performance of audits Educate provider relations, provider services and claims liaisons regarding policies and procedures related to referrals and claims submission

Keywords: Centene Coproration, Baton Rouge , Claims Research Specialist II, Other , Baton Rouge, Louisiana

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