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About
Build, maintain, and govern payer and plan data across workflow and pricing systems Maintain configuration logic that drives workflow rules, automation triggers, and claim routing Audit payer master data to ensure accuracy and support initiatives to resolve data discrepancies
Required Qualifications
Bachelor's degree in business, Health Information Management, or related field (or equivalent experience) 3+ years of experience in payer operations, data analysis, system configuration, or revenue cycle workflows Strong analytical skills with advanced Excel proficiency Experience with workflow, case management, or data systems preferred Understanding of claim, appeal, and denial workflows
Languages
- English
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