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AVP, Provider Claim Resolution
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$150,000 - $280,000 a year
- Serve as the key operational liaison with Provider Network Management and Finance: responsible for the reconciliation,
- reprocessing/recoupment and provider communication for claim payment integrity challenges.
- Drive discussions directly with all Provider back office operations to resolve claim processing disputes, including over and
- under payments, in a timely manner with engagement from the Provider Network Management Relationship Managers to
- Drive discussions directly with Provider back office operations to explain findings and to obtain agreement from
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