Claims Reconsideration Specialist

at Health Partner Plans, Inc.
Location Philadelphia, PA
Date Posted July 11, 2018
Category Claims/Billing
Job Type Full-time

Description

Assist the unit in meeting and maintaining performance standards, such as 10% or less call abandon rate, 30 seconds or less average answer delay and 80% or higher service level. Responsible for the resolution of provider claim reconsideration requests, member billing complaints and related issues involving claim adjustment processing via correspondence, portal requests or projects submitted by...

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