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stalmoney stalmoney
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6 years ago
List the types of businesses that employ health insurance specialists, and discuss the job functions of these specialists.
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6 years ago
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.
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