The Role
Process and adjudicate health insurance claims using the FACETS system, verify coverage and coding, investigate claim issues, coordinate with providers and members, ensure accuracy and compliance, and maintain claim documentation and audit trails.
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Additional Information
All your information will be kept confidential according to EEO guidelines.
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The Company
What We Do
Korak Healthsource Group is a leading healthcare services company specializing in comprehensive health claims administration, outsourcing solutions, and support services. They provide customized, cost-effective management solutions, including third-party administration (TPA), managed care services, and business process outsourcing (BPO). Their specialized portfolio includes utilization management, care management, and the implementation of AI assistants to optimize resources and efficiency for healthcare organizations.
