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Senior Provider Network Analyst
Senior Provider Network AnalystVirtualVocations • Moreno Valley, California, United States
Senior Provider Network Analyst

Senior Provider Network Analyst

VirtualVocations • Moreno Valley, California, United States
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A company is looking for a Provider Network Operations Analyst Senior.

Key Responsibilities

Develops Pricing Agreement Templates for provider reimbursement setup

Resolves provider payment issues within established SLA timeframes

Maintains provider data accuracy through regular reconciliation and audits

Required Qualifications

Associate's Degree preferred

1-2 years managed care or related experience preferred; 1-2 years Medicaid experience preferred

2+ years of claims analysis experience in a healthcare environment

Billing and coding experience required

AAPC Coding Certificate (CPC, COC, CIC, CRC) preferred

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Senior Network Analyst • Moreno Valley, California, United States

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