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Baylor Scott & White Health

Remote,

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Northeast Georgia Health System

Gainesville, Georgia

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St. Charles Health System

Bend, Oregon

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University of Maryland Medical System

Largo, Maryland

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Duke University Health System

Durham, North Carolina

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St. Charles Health System

Bend, Oregon

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Vail Health

Edwards, Remote, Colorado

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AdventHealth

Ocala, Florida

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Harris Health System

Houston, Texas

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AdventHealth

Palm Coast, Florida

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UCLA

Santa Barbara, California

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Northeast Georgia Health System

Gainesville, Georgia

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Penn State Health

Hershey, Pennsylvania

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Memorial Sloan Kettering Cancer Center

New York, New York

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SageWest Health Care

Lander, Wyoming

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Northeast Georgia Health System

Demorest, Georgia

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Harris Health System

Houston, Texas

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Northeast Georgia Health System

Gainesville, Georgia

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Provider Relations Rep
JOB SUMMARY: The Provider Relations Representative PRR 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 PRR 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 PRR ensures that new Physicians / Providers review and receive the required initial education materi


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