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Provider Inquiry Coordinator

  • Full Time
  • Anywhere

DOCTORS HEALTHCARE PLANS, INC.

DOCTORS HEALTHCARE PLANS, INC. — Coral Gables, Miami-Dade County

Position Purpose: Research and resolve claims disputes coming from Participating providers. Responsibilities: Research and resolve claim disputes by navigating company’s claims system and multiple platforms Ensure timely, efficient, accurate and compliant resolution of claim disputes Research provider contract, fee-schedules, claim rules, correct application of benefits, prior authorizations and m…

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Working in Coral Gables, Miami-Dade County

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