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To obtain a position whereby my skills and professional experience can contribute to the company. Purpose: Under direct supervision, reviews and adjudicates paper/electronic claims, as Commercial, Medicare, Medi-Cal. Determines proper handling and adjudication of claims following organizational policies and procedures and also Epic System and EZ-CAP System Apollomed: NMM - Network Medical Management IHPC - Imperial Health Plan CA BNDS - Brand New Day Medicare CTACCFY - Central Health Plan Medicare Access FYB BDACCFY - Brand New Day Medicare Access FYB APCMG - Access Primary Care Medical Group CN - Pending New Credentials AAMG - All American Medical Group Healthplan Code/Name (AAMG) CALS - Anthem Blue Cross Medicare BDAAMFY - Brand New Day Medicare AAMG FYB HNES - Health Net Medicare BDNS - Brand New Day Medicare BS- Blue Shield Commercial SFHM - TPA San Francisco Health Plan Medi-Cal CALM - Anthem Blue Cross Medi-Cal
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