|Location||Monterey Park, CA|
|Date Posted||January 10, 2019|
Process medial claims, professional and institutional as it relates to the appropriate Federal and State regulations based on the member’s Line of Business; Generates and develop reports which include but not limited to root causes of PDRs and Incidents. Responds to provider inquiries/calls related to claims payments. Read and interpret DOFRs as it relates to the claim in order to ensure that...