and accurate adjudication of PACE participant medical claims. This includes data entry, processing manual and electronic claims..., verifying proper authorizations, and processing claim denials. Ensures claims adhere to CMS rules, Medicare guidelines, and PACE...
and external stakeholders. Supports the PACE Claims Specialist I in providing industry leading customer service to PACE vendors... stakeholders, such as CMS or third-party vendors, to ensure seamless claims operations. Trains and mentors PACE Claims Specialist...