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Provider Dispute Resolution Analyst / Job Req
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- Under the general direction of the Supervisor, Provider Dispute Resolution Supervisor the Provider Dispute Resolution (PDR) Analyst will review, research, and resolve complex and involved provider disputes for contracted as well as non-contracted providers in accordance with state and federal guidelines.
- provider disputes and provide a detailed analysis of findings in the PDR application.
- Document all provider inquires including phone calls, email, or written correspondence via the PDR application.
- Participate in standing meetings as necessary, including but not limited to, provider relations, contracting, network development and team building.
- Perform ongoing data entry within the PDR application.
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