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Archimedes, LLC Logo
Archimedes, LLC

St. Louis, Missouri

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The Joint Commission

UNAVAILABLE,

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St. Luke's Health System Logo
St. Luke's Health System

Meridian, Idaho

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St. Luke's Health System

Ketchum, Idaho

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St. Luke's Health System

Meridian, Idaho

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CHRISTUS Health

San Antonio, Texas

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MultiCare Health System

Tacoma, Washington

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Southern California Permanente Medical Group

Wildomar, California

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Southern California Permanente Medical Group

Porter Ranch, California

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Northwest Permanente, Kaiser Permanente Northwest

Portland, Oregon

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Southern California Permanente Medical Group

Woodland Hills, California

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Phoenix Children's Hospital

Phoenix, Arizona

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MultiCare Health System

Covington, Washington

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Southern California Permanente Medical Group

Los Angeles, California

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AdventHealth

Daytona Beach, Florida

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Provider Relations Representative - Community Health Choice
The Provider Services Representative (PSR) is responsible for resolving Physician and /or Provider focused issues (educational needs, contract verification, participation status, claims payment discrepancies, interaction with Community's provider portal, questions regarding Community's process for obtaining authorizations). The PSR maintains a working knowledge of the designated QNXT referral, claims, eligibility, and provider modules, as well as, all CACTUS modules and serve as the primary party responsible for responding to QNXT Call Tracking issues referred to Network Management. The PSR ensures that new Physicians / Providers review and receive the required initial education materials; i.e. Provider Manual,


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