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Moda Health
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United States
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Supervisor Medical Claims Support
Job Title
Supervisor Medical Claims Support ... , APC claims, vendor edits, and rental network pricing etc.
Review and approve requests to
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Moda Health
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United States
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Dental Claims Processor I
Job Title
Dental Claims Processor I ... be better together.
Position SummaryReview claims to determine the reason the claim did not auto
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Moda Health
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United States
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and questions related to a members health plan. These can include explaining benefits, claims ... information.
Primary Functions
Answers 50+ calls a day regarding claims and benefit
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Moda Health
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United States
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understanding of medical terminology and coding, state and federal regulations for claims adjudication and ... Supervisor on complex cases.
Responsible for daily administrative functions of the clinical team in
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Moda Health
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United States
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others regarding benefits, eligibility, claims, premiums, or other issues. This is a full-time WFH ... calls regarding dental claims, benefits, premiums, and eligibility involving employer groups, Oregon
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Moda Health
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United States
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regarding benefits or other issues. Supports CSR’s, supports supervisor with questions, coaching, handles ... up supervisor, answer questions from other representatives, assist in training or orientation and
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Moda Health
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United States
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give monthly reports to the Supervisor and the groups that shows a running balance on total enrollments ... Pre-Existing for timely and accurate claims adjudication as well as sending out required COBRA
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Moda Health
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United States
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Responsible to log and track enrollment applications in excel and give monthly reports to the Supervisor and ... claims adjudication as well as sending out required COBRA notifications.
Requests and verifies
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Moda Health
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United States
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for compliance with accreditation organization standards, and reports results to clinical Supervisor ... department, Medical and Dental Customer Service, Professional Relations, Marketing, Medical Claims, Actuarial
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Moda Health
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United States
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other related duties and projects as assigned by lead, supervisor or manager.
Together, we can be
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