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Job Description

  • Responds to general provider contract inquiries, provider education and non-routine claim issues and may research, analyze, and recommend resolution for provider disputes.
  • Conducts provider outreach by providing training and guidance to enable network providers to become more self-sufficient in confirming eligibility, claims submission and payment by use of available tools.
  • Contributes to the content and maintenance of the Provider Manual, provider newsletters, and other provider correspondence.
  • Performs all other duties as assigned.
  • Must have good negotiation skills with insurance to get higher reimbursements from the insurances
  • Making appeals for out of network payments and also must have knowledge of making reports in appeals.
  • Must have good communication skills to take follow-ups on out of network

Job Details

Total Positions:
3 Posts
Job Shift:
Third Shift (Night)
Job Type:
Job Location:
Gender:
Male
Minimum Education:
Masters
Degree Title:
MBA,BBA,M.S,BSC
Career Level:
Experienced Professional
Minimum Experience:
1 Year (Out-Of-Network Provider)
Apply Before:
Dec 21, 2020
Posting Date:
Nov 20, 2020
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PMTAC Pvt Ltd

Information Technology · 101-200 employees - Islamabad, Rawalpindi

PMTAC is a growing multinational software and healthcare IT company. The company has established its setup in a short span of a few years, which lays the foundations for productivity. PMTAC is following a formula of long-term growth by utilizing labor force increase, investment activity, scientific ...Read More

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