We have an Immediate Need for Provider Service
You must have to quality:
1. Medical Claims Experience
2. Healthcare Background
3. Provider support- discuss denied claims, research prior
authorizations and resubmitting of claims
Provider Service Representative
Respond to telephone or written correspondence inquiries from
providers within established time frames utilizing current
reference materials and available resources
Provide assistance to providers regarding website registration and
Document all activities for quality and metrics reporting through
the Customer Relationship Management (CRM) application
Process written customer correspondence and provide the appropriate
level of timely follow up
Research and identify any processing inaccuracies in claim payments
and route to the appropriate site operations team for claim
High school diploma or equivalent. 1+ years of health care or
insurance environment. Bi-lingual preferred.
Clear background and be able to pass a drug test.
Apply for this great position as a provider service representative
today! We are an equal employment opportunity employer and will
consider all qualified candidates without regard to disability or
protected veteran status.