Medical Claims Review Senior Analyst/Medical Advisor The Medical Advisor is a member of the medical team... for both internal and external customers. Ability to review, investigate, and respond to external and internal inquires/complaints...
Medical Claims Review Senior Analyst/Medical Advisor The Medical Advisor is a member of the medical team... for both internal and external customers. Ability to review, investigate, and respond to external and internal inquires/complaints...
Medical Claims Review Senior Analyst/Medical Advisor The Medical Advisor is a member of the medical team... for both internal and external customers. Ability to review, investigate, and respond to external and internal inquires/complaints...
Medical Claims Review Senior Analyst/Medical Advisor The Medical Advisor is a member of the medical team... for both internal and external customers. Ability to review, investigate, and respond to external and internal inquires/complaints...
JobType: full-time As a Claims Quality Analyst, you will be responsible for auditing and evaluating healthcare claims... and operational efficiency. Requirements: Key Responsibilities Conduct quality audits and reviews of medical claims adjudication...
&Co. KPI's: DSO (Days) Collections and Overdue (%) reduction in Claims in support of LSA Region achievement of the regional.... Monitor accounts for invoices coming due to ensure that payments will be received within terms. Proactively review customer...
& Compliance Improve quality across global claims adjudication, enrolment, billing, provider/network & medical review workflows...
annotated, traceable, and easily accessible for review and audit purposes. Collaborate with medical writers, reviewers..., and maintain comprehensive reference packs to support claims and data presented in scientific, medical, or promotional materials...