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Health Systems Specialist

4 months ago

Luke AFB, United States Military Treatment Facilities Under Dha Full time
Resolve complex TRICARE and Line of Duty medical claim disputes on behalf of TRICARE beneficiaries.
Determine the eligibility of patients and obtain authorizations to facilitate claims processing.
Monitor Debt Collection Assistance Coordinator programs to ensure efficiency and efficacy of programs.
Evaluate the overall debt collection assistance program to ensure resolution of claims disputes.

Establish processes and implement policies associated with managed health care for the beneficiary population and the medical treatment facility.

Assist the Contracting Officers Technical Representative with analyzing and evaluating data from workload, personnel and fiscal resources for reporting purposes.