Investigate all non standard claim problems (25%) Investigates for COB and determine the primary payer (25%) Investigate and process adjustment requests (25%) Adjust claim payments resulting from duplicate payments, incorrect payee, etc. Recover expended funds for managed care plans System documentation of investigation results Training of Coordination of Benefits claim p

CCS Processors are responsible for processing client transactions in accordance with Service Level Agreements (SLA's). Monitor daily turnaround and prioritize work to ensure all items are completed appropriately Manage email inquiries from clients, brokers, and account managers received in a shared email inbox. Manage the shared email inboxes to ensure all transactions re

CCS Processors are responsible for processing client transactions in accordance with Service Level Agreements (SLA's). Monitor daily turnaround and prioritize work to ensure all items are completed appropriately Manage email inquiries from clients, brokers, and account managers received in a shared email inbox. Manage the shared email inboxes to ensure all transaction

Responsible for accurate and timely preparation and submission of claims for Physician Fees. Monitors Fraud and Abuse regulations, ensures that facility is compliant with all regulations pertaining to billing. Investigates and reports same to Department Head and assists in implementing educational and procedural changes as identified. Key Responsibilities 1 Prompt and acc