Medicare Facets Lead: Payment Integrity & Claims

techdigital groupRaleigh, NCyesterday

Occupations

Claims Adjusters, Examiners, and Investigators Medical and Health Services Managers Health Information Technologists and Medical Registrars

Industries

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds All Other Insurance Related Activities Other Management Consulting Services

A leading healthcare consultancy in North Carolina is seeking a specialist with extensive Facets experience, particularly around Medicare claims and authorizations. You will implement testing processes to ensure payment integrity and manage issue resolutions to prevent revenue leakage. The ideal candidate will possess deep knowledge of CMS guidelines and demonstrate leadership in a collaborative environment to enhance the accuracy of Medicare payments across service categories.

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Level

ManagerL7

Location

Raleigh, NC

Occupation

Claims Adjusters, Examiners, and Investigators

Industry

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Posted

yesterday

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