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JOB SUMMARY: The Customer Service Advocate III is a position within the Community Health Choice Provider Call Center. The Customer Service Advocate III is primarily responsible for, but not limited to responding to incoming provider hotline inquiries as they relate to benefit and eligibility verification, claim status (with the ability to identify if a claim requires reconsideration), authorization status, and complaints, accurate documentation recording of all provider calls; effective follow-up of provider calls, as required; and proper electronic routing with effective documentation skills.JOB SPECIFICATIONS AND CORE COMPETENCIESEssential Functions40% Ability to respond
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