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Biology-Related Homework Help Medicine Topic started by: stalmoney on Feb 5, 2018



Title: List the types of businesses that employ health insurance specialists, and discuss the job functions ...
Post by: stalmoney on Feb 5, 2018
List the types of businesses that employ health insurance specialists, and discuss the job functions of these specialists.


Title: List the types of businesses that employ health insurance specialists, and discuss the job functions ...
Post by: alimorey on Feb 5, 2018
Health insurance specialists are employed by insurance companies, third-party administrators, and managed-care companies. A health insurance specialist (or claims examiner) reviews health-related claims to determine whether the costs are reasonable and medically necessary given patient's diagnosis, and will also verify claims against third-party payer guidelines to authorize payment.