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Carolina Pines Regional Medical Center
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Claims Compliance Analyst - Remote
In this role, you will… Proficient in navigating the LuminX claim system In depth understanding of the claim adjudication process: Process claims in accordance with the plan document in a timely and accurate manner> Perform detailed analysis of medical treatment submitted for payment> Investigate and administer the terms of coverage Detailed understanding of State/Federal insurance regulations and mandates Maintain product/system knowledge and be a subject matter expert
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