Medicare Facets Lead: Payment Integrity & Claims
techdigital groupRaleigh (NC)
Medicare Facets Lead: Payment Integrity & Claims
Posted yesterday
techdigital groupRaleigh (NC)
Claims Adjusters, Examiners, and InvestigatorsPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
SENIORITY
Manager
About the role
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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