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The Claim Resolution Specialist II focuses on following up and resolving claims submitted to third-party insurance payers. This includes claims that have yet to be adjudicated and denied accounts that require resolution. The Claim Resolution Specialist II is accountable for meeting or exceeding daily/weekly/monthly productivity targets set forth by management productivity policy and procedure standards. They work with the Business Office Supervisor to escalate claim and denial issues to resolve denials as efficiently as possible.
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