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Senior Associate-Back Office-Customer Service
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- Handle complex healthcare cases such as claims rework, provider appeals, and documentation analysis with minimal supervision.
- Retrieve supporting documents from various systems, create appropriate case files, and ensure accurate attachment and classification.
- Analyze each case to determine resolution or escalation to Subject Matter Experts (SMEs).
- Implement SME guidance to complete case processing effectively and accurately.
- Generate customer communication letters and ensure timely dispatch as per process requirements.
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