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↳ Review, analyze, and resolve claims issues through the utilization of available resources for moderately complex claims. ↳ Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, COB, and out of pocket, etc.
↳ Identify all the duties and responsibilities Primary Functions ↳ Review, analyze, and resolve claims through the utilization of available resources for moderately complex claims.
↳ Maintain confidentiality and project a professional business image ↳ Review, process and adjust Commercial and Medicaid inpatient claims.
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