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- ...Ensure proper reporting of PDPM per diem billing structure. 4. Claim Submission & Follow‑Up Submit claims electronically via EDI/clearinghouse or CMS DDE. Work with Medicare Administrative Contractors (MACs). Monitor claim status and resolve denials or RTPs...
- ...Amazon Vendor Central and all retail accounts. Audit all incoming deductions, classify by root cause (shortage, compliance violation, EDI error, labeling), and file disputes with supporting documentation. Build and maintain a chargeback tracker with recovery status,...
- ...with insurance carriers and managing litigation-related collections. Candidates should have 2–3 years of experience, proficiency in EDI billing platforms, and a strong understanding of the California Workers' Compensation system. This role offers several benefits including...
- ...carriers and defense counsels. This role requires in-depth knowledge of the California Workers’ Compensation system and strong expertise in EDI billing platforms. The ideal candidate will be highly skilled in bill review, dispute resolution, objections, and negotiation,...
