Medicare Facets Lead: Payment Integrity & Claims
techdigital groupRaleigh, NC
Medicare Facets Lead: Payment Integrity & Claims
techdigital groupRaleigh, NC
yesterday
Occupations
Claims Adjusters, Examiners, and InvestigatorsMedical and Health Services ManagersHealth Information Technologists and Medical RegistrarsIndustries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAll Other Insurance Related ActivitiesOther Management Consulting ServicesAbout 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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JOB OVERVIEW
Experience level
Manager
Location
Raleigh, NC
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
yesterday
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