requirements, and industry standards. Evaluate medical claims, escalations, pre-authorization requests, and appeals support and guidance to internal teams, including claims adjudicators, case managers, and utilization review requirements, and industry standards. Evaluate medical claims, escalations, pre-authorization requests, and appeals support and guidance to internal teams, including claims adjudicators, case managers, and utilization review
requirements, and industry standards. Evaluate medical claims, escalations, pre-authorization requests, and appeals support and guidance to internal teams, including claims adjudicators, case managers, and utilization review requirements, and industry standards. Evaluate medical claims, escalations, pre-authorization requests, and appeals support and guidance to internal teams, including claims adjudicators, case managers, and utilization review
Healthcare industry experience related to EDI claims processes. Technical experience (computer related)
Healthcare industry experience related to EDI claims processes. Technical experience (computer related)
feedback or discuss requirements for implementations. Consult with SQA (MK testing team) in terms of test cases
feedback or discuss requirements for implementations. Consult with SQA (MK testing team) in terms of test cases