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California Correction Health Care Services
San Quentin, California
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San Luis Obispo, California
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Crescent City, California
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Provider Research Coordinator
JOB SUMMARY: Provider Research Coordinator is a position within the Community Health Choice Provider Call Center. The Provider Research Coordinator is primarily responsible for, but not limited to responding to incoming provider hotline inquiries as they relate to benefit and eligibility verification, claim status (with the ability to identify if a claim requires reconsideration), authorization status, and complaints, accurate documentation recording of all provider calls; effective follow-up of provider calls, as required; and proper electronic routing with effective documentation skills.JOB SPECIFICATIONS AND CORE COMPETENCIESEssential Functions:15% Interpret
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