Claims Configurations
Accounting Now - Tampa, FL

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Translate plan language into the equivalent system configuration
Code ICD9/10, CPT, Place of Service and other health plan claim elements to optimize auto-adjudication rates
Maintain summary of benefits for each new/changed plan design for accurate documentation of plan build
maintain up-to-date benefit code mappings including updates and required by standard code sets
Participate in internal and external meetings for plan design, strategy and set-up
research and answer staff questions regarding plan build
develop and analyze audit reporting to indentify and improve benefit coding accuracy

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