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Sutter Medical Group
Fairfield, California
Cook Children's Health Care System
Fort Worth, Texas
Cook Children's Health Care System
Fort Worth, Texas
Cook Children's Health Care System
Fort Worth, Texas
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Manager, Intake and Claims, Health Plan
Summary Position is responsible for managing the personnel and processes for the Claims Intake, Rework, Appeals Processing and the Provider Phone Inquiry team. Primary duties include, but are not limited to: 1. Managing the claims intake paper to electronic claim process in compliance with the State contract 2. Managing claims rework and appeals process and turn-around time in compliance with the State contract 3. Managing call center operations including answering phones, faxes, e-mails and responding to provider and billing office inquiries relating to Claims and Benefits. 4. Perform and/or coordinate claims research related to claim issues 5. Hire, train coach and evaluate performance of
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