Claims HMO - Cost Containment Specialist 140-1003

JOB SUMMARY: The Cost Containment Specialist is responsible for ensuring CommunityCare receives appropriate reimbursement of payment on claims.

The Specialists will take actions such as identification of outstanding overpayment of claims, collection of claim overpayments, handling third party claim liability, ensuring appropriate coordination of

benefits

, coordinating transplant claim processing and reporting of reinsurance claims to reinsurer.

KEY

RESPONSIBILITIES

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