Customer Service Rep jobs in the Other category and Healthcare Services industry

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Job Summary Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments. Researches claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error. Identifies potential Provider problems through a proactive approach in which data is mined and trended to identify and...
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Job Summary Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments. Researches claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error. Identifies potential Provider problems through a proactive approach in which data is mined and trended to identify and...
full job description
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