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Centurion Health
Hospitals & Health Care
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Centurion is proud to be a leading provider of comprehensive healthcare services to correctional facilities, state hospitals, and community mental health centers nationwide.
We are currently seeking a full-time Provider Reimbursement Specialist to join our Corporate Team.
The Provider Reimbursement Specialist maintains relationships with physicians, hospitals, ancillary providers and Health Net’s internal Provider Network Management Dept. Acts as first line contact for providers/hospitals on claims projects and other non-routine claim issues. Oversees, in conjunction with the Adjustment and New Day Unit Supervisors, resolution of project issues and is responsible to communicate final resolution to the provider/hospital or other business units and/or managers, as needed and/or as required. Assists with policy and procedure interpretation. Researches, analyzes and resolves complex problems with claims development and finalization
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