Provider Claims Service Representative - Philadelphia

Only for registered members Philadelphia, United States

1 week ago

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Job summary

This position is responsible for responding to customer needs regarding benefit eligibility and other provider issues. The role involves reviewing claims based on provider contractual agreements and claims processing guidelines.

Responsibilities

  • Responds in a timely manner to all customer needs.
  • Reviews and adjudicates claims based on provider contractual agreements.
  • Serves as a Subject Matter Expert.

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