About the roleUnder management direction, responsible for reviewing and processing all types of medical and facility claims from contracting and non-contracting providers and from subscribers and enrollees for payment in an accurate and timely manner. Responsible for applying correct contract benefits, policies and procedures.This position is responsible for claims auditing and payment functions for a Knox-Keene licensed health maintenance organization (HMO).Essential Duties and ResponsibilitiesResolve syst...
