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STAR+PLUS Claims Processor Analyst
JOB SUMMARY: The Claims Analyst is responsible for processing professional, inpatient, and outpatient facility claims using the knowledge of industry standard practices for processing medical claims. This position will also perform updates based on COB status, eligibility reinstatements, and retro-authorization approvals. This position applies relevant rules and regulations specific to coding, providers, plan benefits, contracts, state, and federal guidelines, as well as Community Health Choice?s policies and procedures. This position should possess and demonstrate Harris Health and Community Health Choice values, including trust, integrity, mutual respect, diversity, responsiveness, and caring service.
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