Process

of information based on analysis of data sources and departmental needs. Analyzes and evaluates administrative and clinical data…. Interprets and analyzes clinical study data submitted by providers and/or entered by QM staff, and quantifies into formats…

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Processor III

Responsibilities Examine medical claims for completeness of information Number claims sequentially if necessary Data enter claims in the claims processing system (QNXT) based on information given by the provider, verify eligibility in V…

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