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Samford University McWhorter School of Pharmacy

Birmingham, Alabama

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Denver, Colorado

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Mebane, North Carolina

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Saint Louis, Missouri

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Saint Louis, Missouri

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Manchester, Kentucky

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Saint Louis, Missouri

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Sr. Provider Relations Representative
JOB SUMMARY: The Senior Provider Relations Representative is office-based and is responsible for resolving Physician, Hospital, Ancillary, and Physician organization (Provider) focused issues including, but not limited to educational needs, contract verification, participation status, claims payment discrepancies, interaction with Community's provider portal, and questions regarding Community's process for obtaining authorizations. The Senior Provider Relations Representative exhibits good communication and interpersonal skills; maintains a working knowledge of the designated QNXT referral, claims, eligibility, and provider modules, as well as all CACTUS modules, and serves as the primary party responsible fo


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