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Facets NetworX Configuration – Strategic Staffing Solutions – Chesapeake, VA | – 2-20-2014

Facets NetworX Pricing Configuration Candidates Needed for Work From Home Opportunities. Facets NetworX Configuration – REMOTE Positions Responsible for ensuring accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. Serves as subject matter expert regarding reimbursement policies, edits, and coding conventions.MAJOR JOB DUTIES AND RESPONSIBILITIES: Primary duties may include, but are not limited to: In addition to performing the responsibilities of a Provider Reimbursement Administrator, works with vendors and enterprise teams to develop enterprise reimbursement policies and edits, ensuring policies and edits do not conflict with Federal and state mandates. Works with other departments on claims adjudication workflow development and business process improvements. May lead the full range of provider reimbursement activities for a state(s). Leads projects related to provider reimbursement initiatives. Serves as a mentor to less experienced administrators. QUALIFICATIONS / EXPERIENCERequires a BA/BS degree, 4-6 years related experience; or any combination of education and experience, which would provide an equivalent background.MUST have Facets NetworX pricing configuration experience.Must have strong analytical and technical skills, excellent …                                                                

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