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November 19, 2019  
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<< Back To Search Results Centene Coproration
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Provider Relations Specialist I

Position Description

Description:


Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance improvement within physician practices.


Serve as primary contact for providers serving as a liaison between the provider and the health plan


Conduct monthly face to face meetings with the providers documenting discussions, issues, attendees, and action items researching claims issues on

site and routing to the appropriate party for resolution


Receive and respond to external provider related issues


Initiate entry or change of provider related database information and oversee testing and completion of change request


Investigate, resolve and communicate provider claim issues and changes


Educate providers regarding policies and procedures related to referrals and claims submission, web site education, EDI solicitation and problem solving


Perform provider orientations, including writing and updating orientation materials


Ability to travel



Additional Information

Employment Type: Full-Time    
Position Location: Nashville, Tennessee


Apply For This Job: Provider Relations Specialist I


 

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