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Managed Vision Care - Lead, Network Management
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- Monitor the credentialing and re-credentialing status of retail stores and doctors to ensure providers obtain active status in a timely manner.
- Manage Network Management related research projects as needed.
- Manage claim issues generated by credentialing challenges, partner with Network Management Associates and Third Party Billing to produce resolutions.
- Partner with Contracting Entities and EDI Clearinghouse to research and resolve claim submission and payment issues.
- Partner with IT, Third Party Billing and Clearinghouse Vendor to ensure that all EDI requirements are met.
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