from Providers/TPA's in processing/adjusting claims (e.g. ICD-9/10, CPT, HCPC) or Minimum 3 years' experience auditing experience... Demonstrated understanding of medical claims processes and procedures, and ability to recognize and interpret variances Legally...
Job Category: Administration Job Description: The Approval Officer is responsible for evaluating and processing... insurance claims, ensuring compliance with medical and regulatory standards, and facilitating approvals for medical procedures...