Join a healthcare organization committed to delivering high-quality service and operational excellence. This role is essential in supporting provider communications and ensuring accurate resolution of claims-related inquiries.

Responsibilities:

• Serve as the primary liaison for written provider inquiries and issue resolution


• Respond to claim-related inquiries from physicians, clinical staff, and provider administrators


• Coordinate with internal departments including Claims, Utilization Management, Provider Relations, and Member Services


• Track, manage, and ensure timely follow-up and closure of all inquiries


• Prepare clear and accurate written responses to providers and maintain detailed records


• Perform data entry into internal systems such as IMAX


• Adjust claims to correct overpayments and underpayments


• Participate in special projects related ...