Sentences with phrase «claims adjudication system»
Good working knowledge of claims adjudication systems?
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The Court noted that although use of BRI in PTAB trials may result in some inconsistency with parallel district court actions, that risk «has long been present in our patent system, which uses different tracks — one in the Patent Office and one in the courts — for the review and adjudication of patent claims.»
(ii) The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or
For health plans, designated record sets include, at a minimum, the enrollment, payment, claims adjudication, and case or medical management record systems of the plan.
Determined if claim submission was completed correctly, verified data and entered into system for adjudication
If you are searching for an experienced, knowledgeable and dedicated Health Insurance Management professional who will generate significant insight in client service and support, and develop and oversee successful claims systems and adjudication initiatives, please contact me to arrange an interview.
Data entry / adjudication of 100 + Physician and Hospital claims, (Medicaid and Medicare) into Quick Cap (Medical billing system).
Business Analytics Quality Assurance Change Management Claims Systems / Adjudication Communications Healthcare / TPA Customer Service Cost / Benefit Analyses File Underwriting
* Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB / Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, HIX, HMO, PPO, POS, Medicare, Medicaid, CDHP, MMIS system implementatio...