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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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