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Acentra Health, LLC

Medicaid Claims Reviewer & Compliance Specialist

oregon, WI

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About this opportunity

Acentra Health, LLC lists this Medicaid Claims Reviewer & Compliance Specialist opportunity in oregon, Wisconsin. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Acentra Health is seeking a Medical Claims Reviewer to join our growing team. Your role will involve reviewing claims, medical records, and billing documentation to ensure accurate coverage determinations and adherence to Medicaid requirements.

You will work with the Medical Claims Review team, interpret regulations, respond to provider inquiries, and support program oversight for Oregon Health Plan Professional Services, including DMEPOS, Therapies, Vision, and Dental services.

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Worksite address

oregon, WI, 53575, US

Who can apply

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