claims adjudication Search Results

Experienced Medicare Part B Claims Appeals Specialist with a strong focus on claims adjudication, regulatory compliance, and appeals processing. Prove... View More

Stop-loss Coordinator with over 18 years of experience in healthcare administration and claims processing, recognized for a collaborative approach and... View More

Goal‑oriented professional with a strong investigative foundation and experience working with diverse communities. Equipped with a Master’s degree and... View More

Skilled healthcare revenue cycle professional with a long track record in medical billing, claims adjudication, and denial management. Strengths inclu... View More

Experienced Lead Claims & Customer Service Representative with 20+ years resolving benefits, eligibility, and claims issues. Strong in claims research... View More

Detail-oriented and customer-focused professional with experience in claims processing, data entry, and payment authorization. Adept at evaluating and... View More

Medical Claims Analyst with experience in adjudicating, auditing, and analyzing complex claims in a TPA environment. Skilled in CPT/HCPCS and ICD-10 c... View More

Dynamic Claims Technical Expert at the Social Security Administration with a proven track record in claims adjudication and policy interpretation. Ren... View More

Results-driven managed care operations leader and subject matter expert (SME) with 20+ years of progressive experience across Medicaid, Medicare, Medi... View More